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Related Experiment Videos

Cardiac surgery in the very elderly

V Z Shah1, F L Rosenfeldt, G W Parkin

  • 1Saint Francis Xavier Cabrini Hospital, Malvern, Vic.

The Medical Journal of Australia
|March 21, 1994
PubMed
Summary

Cardiac surgery in very elderly patients shows a 7% in-hospital mortality rate and an 88% one-year survival. This intervention significantly improves functional status for those with severe cardiac symptoms.

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Area of Science:

  • Cardiovascular Surgery
  • Geriatric Medicine

Background:

  • The very elderly population (≥79 years) often presents with severe cardiac conditions.
  • Limited data exists on the outcomes of open-heart surgery in this demographic.

Purpose of the Study:

  • To evaluate the efficacy and safety of cardiac surgery in very elderly patients.
  • To assess survival rates and functional outcomes post-intervention.

Main Methods:

  • Retrospective analysis of 56 patients aged 79-89 years undergoing open-heart surgery.
  • Procedures included coronary artery bypass grafting (33 patients) and valve replacement (23 patients).
  • Data collected from 1988-1991 at a large private hospital.

Main Results:

  • In-hospital mortality was 7% (4 deaths).

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  • One-year actuarial survival rate was 88%.
  • Significant functional improvement observed: 92% of survivors improved from NYHA Class III/IV to Class I/II post-surgery.

    • Conclusions:

    • Cardiac surgery is a viable option for very elderly patients with medically refractory symptoms.
    • The procedure offers a tolerable mortality risk and excellent symptom relief.
    • Improved functional capacity post-surgery is a key benefit for this age group.