ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Tsung-Po Tsai
Aurelio Chaux
Carlos Blanche
Jack M. Matloff
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Tsai, T.-P.
Right arrow Articles by Matloff, J. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Tsai, T.-P.
Right arrow Articles by Matloff, J. M.

Ann Thorac Surg 1991;51:983-986
© 1991 The Society of Thoracic Surgeons

Articles

Morbidity and mortality after coronary artery bypass in octogenarians

Tsung-Po Tsai, MD*, Sharon Nessim, PhD, Robert M. ass, MD, Aurelio Chaux, MD, Richard J. Gray, MD, Steven S. Khan, MD, Carlos Blanche, MD, Caron Utley, CCRN, Jack M. Matloff, MD

Department of Thoracic and Cardiovascular Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA

Accepted for publication February 14, 1991.

* Address reprint requests to Dr Tsai, Department of Thoracic and Cardiovascular Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048.

One hundred fifty seven consecutive octogenarians (mean age ± standard deviation, 82.4 ± 1.9 years) underwent coronary artery bypass grafting with hypothermia (mean temperature, 21.8 ° ± 1.8 °C), hyperkalemic cardioplegia, and cardiopulmonary bypass in a 9-year period. Sixty-six percent were male. Preoperatively, 115 patients (73%) were in New York Heart Association functional class IV, with the remainder being in either class III (23%) or class II (4%). Twenty percent of the patients had major complications including postoperative hemorrhage (15), sepsis (9), cerebrovascular accident (6), third-degree heart block (5), renal failure requiring dialysis (1), and pulmonary embolism (1). The 30-day or in-hospital mortality rate was 7.0%. Mean total hospital stay was 26.1 ± 17.9 days. One-year and 5-year actuarial survival rates were 85% and 62%, respectively. Higher mortality was seen to be associated with New York Heart Association class IV, left ventricular ejection fraction less than 0.40, and lesser values for cardiac output and cardiac index. At the 6-month postoperative follow-up, 73% of the survivors reported that their general health had improved as compared with before operation. This experience demonstrates that for select octogenarians with unmanageable angina pectoris, coronary artery bypass grafting is an effective therapeutic option.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
B. Chiappini, N. Camurri, A. Loforte, L. Di Marco, R. Di Bartolomeo, and G. Marinelli
Outcome after aortic valve replacement in octogenarians
Ann. Thorac. Surg., July 1, 2004; 78(1): 85 - 89.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
P J Bradshaw, K Jamrozik, M Le, I Gilfillan, and P L Thompson
Mortality and recurrent cardiac events after coronary artery bypass graft: long term outcomes in a population study
Heart, December 1, 2002; 88(5): 488 - 494.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
P Kolh, A Kerzmann, L Lahaye, P Gerard, and R Limet
Cardiac surgery in octogenarians. Peri-operative outcome and long-term results
Eur. Heart J., July 2, 2001; 22(14): 1235 - 1243.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. R. Liddicoat, J. M. Redmond, C. M. Vassileva, W. A. Baumgartner, and D. E. Cameron
Hypothermic circulatory arrest in octogenarians: risk of stroke and mortality
Ann. Thorac. Surg., April 1, 2000; 69(4): 1048 - 1051.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. S. Fruitman, C. E. MacDougall, and D. B. Ross
Cardiac surgery in octogenarians: can elderly patients benefit? quality of life after cardiac surgery
Ann. Thorac. Surg., December 1, 1999; 68(6): 2129 - 2135.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
K. A. Eagle, R. A. Guyton, R. Davidoff, G. A. Ewy, J. Fonger, T. J. Gardner, J. P. Gott, H. C. Herrmann, R. A. Marlow, W. C. Nugent, et al.
ACC/AHA guidelines for coronary artery bypass graft surgery: A report of the American College of Cardiology/ American Heart Association task force on Practice Guidelines (Committee to revise the 1991 Guidelines for Coronary Artery Bypass Graft Surgery)
J. Am. Coll. Cardiol., October 1, 1999; 34(4): 1262 - 1347.
[Full Text] [PDF]

Home page
 ANGIOLOGYHome page
D. J. Miller, L. E. Samuels, M. S. Kaufman, R. J. Morris, M. P. Thomas, and S. K. Brockman
Coronary Artery Bypass Surgery in Nonagenarians
Angiology, August 1, 1999; 50(8): 613 - 617.
[Abstract] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
P. Kolh, L. Lahaye, P. Gerard, and R. Limet
Aortic valve replacement in the octogenarians: perioperative outcome and clinical follow-up
Eur J Cardiothorac Surg, July 1, 1999; 16(1): 68 - 73.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
J. Ivanov, R. D. Weisel, T. E. David, and C. D. Naylor
Fifteen-Year Trends in Risk Severity and Operative Mortality in Elderly Patients Undergoing Coronary Artery Bypass Graft Surgery
Circulation, February 24, 1998; 97(7): 673 - 680.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. G. Estafanous, F. D. Loop, T. L. Higgins, S. Tekyi-Mensah, B. W. Lytle, D. M. Cosgrove Jr, and N. J. Starr
Increased Risk and Decreased Morbidity of Coronary Artery Bypass Grafting Between 1986 and 1994
Ann. Thorac. Surg., February 1, 1998; 65(2): 383 - 389.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. J. Morris, M. D. Strong, K. E. Grunewald, M. L. R. Kuretu, L. E. Samuels, J. Y. Kresh, and S. K. Brockman
Internal Thoracic Artery for Coronary Artery Grafting in Octogenarians
Ann. Thorac. Surg., July 1, 1996; 62(1): 16 - 22.
[Abstract] [Full Text]

Home page
 CirculationHome page
E. D. Peterson, P. A. Cowper, J. G. Jollis, J. D. Bebchuk, E. R. DeLong, L. H. Muhlbaier, D. B. Mark, and D. B. Pryor
Outcomes of Coronary Artery Bypass Graft Surgery in 24 461 Patients Aged 80 Years or Older
Circulation, November 1, 1995; 92(9): 85 - 91.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
M. E. Cane, C. Chen, B. M. Bailey, J. Fernandez, G. W. Laub, W. A. Anderson, and L. B. McGrath
CABG in octogenarians: Early and late events and actuarial survival in comparison with a matched population
Ann. Thorac. Surg., October 1, 1995; 60(4): 1033 - 1037.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. B. Williams, R. G. Carrillo, E. A. Traad, C. H. Wyatt, R. Grahowski, S. H. Wittels, and G. Ebra
Determinants of operative mortality in octogenarians undergoing coronary bypass
Ann. Thorac. Surg., October 1, 1995; 60(4): 1038 - 1043.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. K. Kaul, B. L. Fields, D. A. Wyatt, C. R. Jones, and D. R. Kahn
Angioplasty versus coronary artery bypass in octogenarians
Ann. Thorac. Surg., November 1, 1994; 58(5): 1419 - 1426.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T.-P. Tsai, A. Chaux, J. M. Matloff, R. M. Kass, R. J. Gray, M. A. DeRobertis, and S. S. Khan
Ten-year experience of cardiac surgery in patients aged 80 years and over
Ann. Thorac. Surg., August 1, 1994; 58(2): 445 - 450.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C. Blanche, S. S. Khan, A. Chaux, and J. M. Matloff
Postinfarction ventricular septal defect in the elderly: Analysis and results
Ann. Thorac. Surg., May 1, 1994; 57(5): 1244 - 1247.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. A. Sisto, D. M. Hoffman, S. Fernandes, and R. W. M. Frater
Is use of the intraaortic balloon pump in octogenarians justified?
Ann. Thorac. Surg., September 1, 1992; 54(3): 507 - 511.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1991 by The Society of Thoracic Surgeons.