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Cardiac surgery in octogenarians

G Sahar1, E Raanani, R Brauner

  • 1Cardiothoracic Surgery Division, Beilinson Medical Center, Petach Tikva, Israel.

The Journal of Cardiovascular Surgery
|December 1, 1994
PubMed
Summary
This summary is machine-generated.

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Octogenarian patients undergoing cardiac surgery, including coronary artery bypass grafting (CABG) and aortic valve replacement (AVR), experienced zero operative mortality in CABG procedures. Selected octogenarians with cardiac conditions can safely undergo surgery, even with moderate left ventricular dysfunction.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Geriatric Medicine

Background:

  • Age is a significant, yet debated, risk factor in surgical outcomes.
  • Octogenarian patients present unique challenges for cardiac interventions.

Purpose of the Study:

  • To evaluate the safety and efficacy of cardiac surgical procedures in octogenarian patients.
  • To assess outcomes for coronary artery bypass grafting (CABG) and aortic valve replacement (AVR) in this age group.

Main Methods:

  • Retrospective evaluation of 35 consecutive octogenarian patients (average age 82.3 years) undergoing CABG, AVR, or combined AVR-CABG.
  • Analysis of operative mortality, hospitalization periods, complication rates, and graft utilization, including the left internal mammary artery (LIMA).

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Main Results:

  • Zero operative mortality for CABG procedures (alone or combined with AVR).
  • Average hospitalization of 11.5 days for CABG patients; 17.6 days for AVR-only patients.
  • Overall complication rate of 25.7%, with no increased risk of bleeding or sternal infection associated with LIMA use.

Conclusions:

  • Cardiac surgery, including CABG and AVR, is feasible and safe in selected octogenarian patients.
  • The use of LIMA in octogenarians did not increase complications, suggesting its utility in selected cases.
  • Surgical intervention should be considered for octogenarians with cardiac conditions, even with moderate left ventricular dysfunction, when indicated.