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Related Experiment Videos

Cardiac surgery in nonagenarians

L E Samuels1, S Sharma, R J Morris

  • 1Department of Cardiothoracic Surgery, Hahnemann University Hospital, Philadelphia, PA 19102-1192, USA.

Journal of Cardiac Surgery
|March 1, 1996
PubMed
Summary

Cardiac surgery in nonagenarians with severe heart disease is justified. This study shows acceptable outcomes for carefully selected patients aged 90 and older undergoing coronary artery bypass grafting or aortic valve replacement.

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Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Cardiac Surgery

Background:

  • Cardiac surgery in octogenarians is established.
  • Nonagenarians with severe coronary artery disease (CAD) or aortic valve disease refractory to medical therapy are candidates for surgery.

Purpose of the Study:

  • Document initial experience with cardiac surgery in patients aged 90 years and older.
  • Determine if cardiac surgery is justified in this population.

Main Methods:

  • 14 patients aged 90+ underwent cardiac surgery.
  • 8 had isolated coronary artery bypass grafting (CABG).
  • 6 had aortic valve replacement (AVR).
  • All patients were NYHA Class IV preoperatively.

Main Results:

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  • Hospital mortality was 7% (1 patient).
  • Hospital morbidity was 71% (10 patients), including cardiac and neurological events.
  • All survivors improved symptomatically.
  • Long-term survival varied between CABG and AVR groups.

Conclusions:

  • Cardiac surgery in carefully selected nonagenarians is justified.
  • The procedure can be performed with acceptable results in this age group.