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Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery
Published on: November 28, 2018
Cardiac surgery in nonagenarians.
A Hovanesyan1, M R Moon, M W Rich
1Department of Internal Medicine, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO 63110, USA.
The Journal of Cardiovascular Surgery
|October 20, 2007
Summary
Cardiac surgery in nonagenarians (patients 90+ years) shows acceptable short-term complications and long-term survival. Careful patient selection is key for successful outcomes in this elderly population.
Area of Science:
- Cardiology
- Geriatric Medicine
- Surgical Outcomes Research
Background:
- Cardiac surgery in nonagenarians (patients aged 90 years and older) is increasingly considered.
- Outcomes and survival rates in this extremely elderly demographic require careful evaluation.
- Understanding comorbidities and operative risks is crucial for patient selection.
Purpose of the Study:
- To evaluate the outcomes of cardiac surgery in patients aged 90 years and older.
- To assess short-term complication rates and long-term survival following these procedures.
- To identify predictors of hospital stay in this patient cohort.
Main Methods:
- Retrospective analysis of 22 patients aged 90+ undergoing cardiac surgery between 1996-2006.
- Data collected on demographics, comorbidities, procedures, and postoperative complications.
- Late survival determined using the Social Security Death Index.
Main Results:
- The cohort (mean age 91) had high rates of hypertension (91%) and heart failure (65%).
- Intraoperative mortality was 5%. Common complications included atrial fibrillation and vasopressor use.
- 30-day, 90-day, and 1-year survival rates were 86%, 77%, and 64%, respectively. 32% were alive at 4.1 years.
Conclusions:
- Cardiac surgery in carefully selected nonagenarians can yield acceptable short-term complication rates.
- Long-term survival outcomes in this population appear to be favorable despite inherent risks.
- Higher serum creatinine and heart failure presence predicted longer hospital stays.
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