Related Experiment Videos
[Cardiac operation for aged patients (aged 75 years and over): results of surgical intervention]
Insights
Cardiac surgery in elderly patients (75+) shows higher mortality in emergency cases. Elective procedures are recommended for better outcomes in this age group, avoiding risks associated with emergency interventions.
Area of Science:
- Cardiology
- Geriatric Medicine
- Surgical Outcomes
Abstract:
We evaluate the results of cardiac operation for 41 elderly patients (aged 75 years and over, mean, 77.5 years old). The overall hospital mortality was 12.2% (5/41) with mortality of 8.3% (2/24) in cases of elective operation and mortality of 17.6% (3/17) in cases of emergency operation. Causes of hospital death in emergency cases were congestive heart failure and left ventricular rupture (two cases) due to acute myocardial infarction. Patients who died in elective operation had been performed reoperation for bleeding and unstable sternum. These complications which need a reoperation seemed to be a potential risk for elderly patients. Because of poorer results of the emergency case, it is advocate to operate on these aged patients with an elective basis, if there is no absolute contraindications.