Related Experiment Video
Updated: Jun 19, 2026
05:39
Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
[Cardiac surgery in Portuguese octogenarians]
Miguel Guerra1, João Carlos Mota
1Serviço de Cirurgia Cardiotorácica do Centro Hospitalar de Vila Nova de Gaia, Espinho.
Summary
Cardiac surgery in octogenarians is feasible with acceptable outcomes. Factors like combined procedures, diabetes, and urgent status significantly impact operative mortality, guiding patient selection and perioperative care.
Area of Science:
- Cardiology
- Geriatric Medicine
- Surgical Outcomes
Context:
- Cardiac surgery in octogenarians presents unique challenges due to age-related comorbidities.
- Portuguese octogenarians undergoing cardiac operations between 2003-2005 were analyzed.
- Prevalence of comorbidities like diabetes, renal failure, and vascular disease was noted.
Purpose:
- To investigate the operative results and clinical outcomes of Portuguese octogenarians undergoing cardiac surgery.
- To evaluate the effect of cardiac and operative risk factors on mortality in this population.
- To identify factors influencing perioperative decisions and case selection.
Summary:
- A review of 339 octogenarians (mean age 82.4 years) revealed overall hospital mortality of 10.0%.
- Coronary artery bypass grafting (CABG) and valve surgery had operative mortalities of 9.4% and 8.0%, respectively.
- Combined surgery, diabetes, and urgent/emergent procedures significantly increased operative mortality.
Impact:
- Cardiac surgery in octogenarians can be performed with acceptable risk and mortality rates.
- Identified risk factors (diabetes, combined procedures, urgency) aid in optimizing patient selection and perioperative management.
- Findings support the feasibility of cardiac surgery in elderly populations with careful consideration of risk factors.
Related Concept Videos
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:21Cardiac Catheterization II: Right Heart Catheterization
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
01:24Cardiac Catheterization III: Left Heart Catheterization
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...