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[Heart surgery in the elderly]

U Klima1, R Mair, C Gross

  • 1Abteilung für Chirurgie I, Allgemeines Krankenhaus Linz.

Wiener Klinische Wochenschrift
|January 1, 1995
PubMed
Summary
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Open heart surgery in octogenarians is increasingly common and justified, offering improved life expectancy and quality of life despite an 8.9% mortality rate. Careful patient selection is key for successful outcomes in elderly cardiac patients.

Area of Science:

  • Cardiovascular Surgery
  • Geriatric Medicine
  • Cardiac Anesthesia

Context:

  • Octogenarians represent a rapidly growing patient demographic for cardiac operations.
  • The study period (June 1985-July 1994) involved 112 octogenarian patients (mean age 81.7 years).
  • Cardiac procedures in the elderly present unique challenges and require careful consideration.

Purpose:

  • To evaluate the safety and efficacy of open heart procedures in octogenarian patients.
  • To determine the perioperative mortality and complication rates in this age group.
  • To assess the impact of cardiac surgery on life expectancy and quality of life for patients over 80.

Summary:

  • A total of 112 octogenarians underwent cardiac operations with an 80.4% uneventful postoperative course.

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  • The perioperative mortality rate was 8.9%, with the lowest mortality observed in aortic valve replacement (3.3%).
  • Common causes of death included heart failure; complications ranged from AV-block to urinary tract infections.

    • Impact:

    • Open heart surgery in octogenarians is considered justified, with careful patient selection crucial for success.
    • Cardiac operations can significantly improve both life expectancy and quality of life in elderly patients.
    • This study supports the consideration of advanced surgical interventions for selected octogenarian cardiac patients.