Related Experiment Video
Updated: Sep 2, 2025
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
1.8K
Modern Cardiac Surgical Outcomes in Nonagenarians: A Multicentre Retrospective Observational Study
Laurence Weinberg1,2, Dominic Walpole1, Dong Kyu Lee3
1Department of Anaesthesia, Austin Health, Melbourne, VIC, Australia.
Frontiers in Cardiovascular Medicine
|August 1, 2022
Summary
Cardiac surgery in nonagenarians showed zero 6-month mortality in a contemporary cohort. These findings support offering cardiac surgery to carefully selected nonagenarian patients.
Area of Science:
- Cardiology
- Geriatric Medicine
- Surgical Outcomes
Background:
- Limited data exists on cardiac surgery outcomes in nonagenarians.
- This population is increasingly referred for cardiac interventions.
- Contemporary peri-operative care advancements necessitate outcome evaluation.
Purpose of the Study:
- To describe patient characteristics, management, and outcomes of nonagenarians undergoing cardiac surgery.
- To assess 6-month mortality in this cohort.
- To detail postoperative complications in nonagenarians.
Main Methods:
- Retrospective observational study of 18 nonagenarians undergoing cardiac surgery via median sternotomy.
- Exclusion of transcatheter aortic valve implantation (TAVI) and thoracic endovascular aortic repair (TEVAR).
- Data collected from four Australian hospitals over 8 years (2012-2019).
Main Results:
- Median age was 91 years; comorbidities and frailty were common.
- Zero intra-operative, in-hospital, or 6-month mortality observed.
- 16.7% experienced Grade IIIb complications; 16.7% had 30-day readmissions.
Conclusions:
- Zero 6-month postoperative mortality in a selected contemporary cohort of nonagenarians.
- Findings support offering cardiac surgery to carefully selected nonagenarian patients.
- Further research may explore long-term outcomes and specific surgical indications.
Keywords:
acute kidney injuryanesthesiacardiac surgerycomplicationsdeliriummortalitynonagenariansoutcomesMore Related Videos
08:50Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
11.8K
04:48Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery
Published on: November 28, 2018
8.0K
Related Concept Videos
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
27
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...
27
01:29Cardiomyopathy V: Interprofessional Care
30
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
30
01:30Heart Failure V: Medical Management
23
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
23
01:30Acute Coronary Syndrome III: Diagnostic Studies
21
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
21
01:29Cardiomyopathy III: Hypertrophic Cardiomyopathy
40
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
40
01:26Mitral Stenosis III: Medical Management
18
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
18