| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1997;64:606-614
© 1997 The Society of Thoracic Surgeons
Cardiac Surgical Unit, Massachusetts General Hospital, Boston, Massachusetts
Background. Because the elderly are increasingly referred for operation, we reviewed results with cardiac surgical patients 80 years old or older.
Methods. Records of 600 consecutive patients 80 years old or older having cardiac operations between 1985 and 1995 were reviewed. Follow-up was 99% complete.
Results. Two hundred ninety-two patients had coronary grafting (CABG), 105 aortic valve replacement (AVR), 111 AVR + CABG, 42 mitral valve repair/replacement (MVR) ± CABG, and 50 other operations. Rates of hospital death, stroke, and prolonged stay (>14 days) were as follows: CABG: 17 (5.8%), 23 (7.9%) and 91 (31.2%); AVR: 8 (7.6%), 1 (1.0%), and 31 (29.5%); AVR + CABG: 7 (6.3%), 12 (10.8%), and 57 (51.4%); MVR ± CABG: 4 (9.5%), 3 (7.1%), and 16 (38.1%); other: 9 (18.0%), 3 (6.0%), and 23 (46.0%). Multivariate predictors (p < 0.05) of hospital death were chronic lung disease, postoperative stroke, preoperative intraaortic balloon, and congestive heart failure; predictors of stroke were CABG and carotid disease; and predictors of prolonged stay were postoperative stroke and New York Heart Association class. Actuarial 5-year survival was as follows: CABG, 66%; AVR, 67%; AVR + CABG, 59%; MVR ± CABG, 57%; other, 48%; and total, 63%. Multivariate predictors of late death were renal insufficiency, postoperative stroke, chronic lung disease, and congestive heart failure. Eighty-seven percent of patients believed having a heart operation after age 80 years was a good choice.
Conclusions. Cardiac operations are successful in most octogenarians with increased hospital mortality, postoperative stroke, and longer hospital stay. Long-term survival is largely determined by concurrent medical diseases.
Related Article
Ann. Thorac. Surg. 1997 64: 614-615.
This article has been cited by other articles:
|
|
 |
|
  P. Nanjaiah, D. Agrawal, and S. U. Prasad Pectoral hematoma mimicking a hemothorax in an octogenarian following aortic valve replacement - a near miss Interactive CardioVascular and Thoracic Surgery, November 1, 2009; 9(5): 847 - 848. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Piccardo, T. Regesta, K. Zannis, V. Gariboldi, S. Pansini, M. Tapia, G. Concistre, F. Collart, P. Kreitmann, M. E.W. Kirsch, et al. Outcomes after surgical treatment for type A acute aortic dissection in octogenarians: a multicenter study. Ann. Thorac. Surg., August 1, 2009; 88(2): 491 - 497. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Krane, R. Bauernschmitt, A. Hiebinger, M. Wottke, B. Voss, C. C. Badiu, and R. Lange Cardiac reoperation in patients aged 80 years and older. Ann. Thorac. Surg., May 1, 2009; 87(5): 1379 - 1385. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Zingone, G. Gatti, E. Rauber, P. Tiziani, L. Dreas, A. Pappalardo, B. Benussi, and A. Spina Early and Late Outcomes of Cardiac Surgery in Octogenarians Ann. Thorac. Surg., January 1, 2009; 87(1): 71 - 78. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. H. Thourani, R. Myung, P. Kilgo, K. Thompson, J. D. Puskas, O. M. Lattouf, W. A. Cooper, J. D. Vega, E. P. Chen, and R. A. Guyton Long-Term Outcomes After Isolated Aortic Valve Replacement in Octogenarians: A Modern Perspective Ann. Thorac. Surg., November 1, 2008; 86(5): 1458 - 1465. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. P. Dal-Bianco, B. K. Khandheria, F. Mookadam, F. Gentile, and P. P. Sengupta Management of Asymptomatic Severe Aortic Stenosis J. Am. Coll. Cardiol., October 14, 2008; 52(16): 1279 - 1292. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Ailawadi, B. R. Swenson, M. E. Girotti, L. M. Gazoni, B. B. Peeler, J. A. Kern, L. M. Fedoruk, and I. L. Kron Is Mitral Valve Repair Superior to Replacement in Elderly Patients? Ann. Thorac. Surg., July 1, 2008; 86(1): 77 - 86. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Kojodjojo, N. Gohil, D. Barker, P. Youssefi, T.V. Salukhe, A. Choong, M. Koa-Wing, J. Bayliss, D.R. Hackett, and M.A. Khan Outcomes of elderly patients aged 80 and over with symptomatic, severe aortic stenosis: impact of patient's choice of refusing aortic valve replacement on survival QJM, July 1, 2008; 101(7): 567 - 573. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. L. Ngaage, M. E. Cowen, S. Griffin, L. Guvendik, and A. R. Cale Early neurological complications after coronary artery bypass grafting and valve surgery in octogenarians Eur. J. Cardiothorac. Surg., April 1, 2008; 33(4): 653 - 659. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Vicchio, A. Della Corte, L. S. De Santo, M. De Feo, G. Caianiello, M. Scardone, and M. Cotrufo Tissue Versus Mechanical Prostheses: Quality of Life in Octogenarians Ann. Thorac. Surg., April 1, 2008; 85(4): 1290 - 1295. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Silvay, J. G. Castillo, J. Chikwe, B. Flynn, and F. Filsoufi Cardiac Anesthesia and Surgery in Geriatric Patients Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2008; 12(1): 18 - 28. [Abstract] [PDF]
|
|
|
|
 |
|
 M. Shrestha, N. Khaladj, A. Haverich, and C. Hagl Is Treatment of Acute Type A Aortic Dissection in Septuagenarians Justifiable? Asian Cardiovasc Thorac Ann, February 1, 2008; 16(1): 33 - 36. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Basaran, O. Selimoglu, H. Ozcan, H. Ogus, E. Kafali, C. Ozcelebi, and T. N. Ogus Being an elderly woman: is it a risk factor for morbidity after coronary artery bypass surgery? Eur. J. Cardiothorac. Surg., July 1, 2007; 32(1): 58 - 64. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. H. Huber, V. Goeber, P. Berdat, T. Carrel, and F. Eckstein Benefits of cardiac surgery in octogenarians -- a postoperative quality of life assessment Eur. J. Cardiothorac. Surg., June 1, 2007; 31(6): 1099 - 1105. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. J. Melby, A. Zierer, S. P. Kaiser, T. J. Guthrie, J. D. Keune, R. B. Schuessler, M. K. Pasque, J. S. Lawton, N. Moazami, M. R. Moon, et al. Aortic Valve Replacement in Octogenarians: Risk Factors for Early and Late Mortality Ann. Thorac. Surg., May 1, 2007; 83(5): 1651 - 1657. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Kolh, A. Kerzmann, C. Honore, L. Comte, and R. Limet Aortic valve surgery in octogenarians: predictive factors for operative and long-term results Eur. J. Cardiothorac. Surg., April 1, 2007; 31(4): 600 - 606. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Varadarajan, N. Kapoor, R. C. Bansal, and R. G. Pai Survival in elderly patients with severe aortic stenosis is dramatically improved by aortic valve replacement: results from a cohort of 277 patients aged >=80 years Eur. J. Cardiothorac. Surg., November 1, 2006; 30(5): 722 - 727. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Rosborough Cardiac Surgery in Elderly Patients: Strategies to Optimize Outcomes Crit. Care Nurse, October 1, 2006; 26(5): 24 - 31. [Full Text] [PDF]
|
|
|
|
|
|
T. Eitz, D. Fritzsche, G. Kleikamp, A. Zittermann, D. Horstkotte, and R. Korfer Reoperation of the aortic valve in octogenarians. Ann. Thorac. Surg., October 1, 2006; 82(4): 1385 - 1390. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Iung, A. Cachier, G. Baron, D. Messika-Zeitoun, F. Delahaye, P. Tornos, C. Gohlke-Barwolf, E. Boersma, P. Ravaud, and A. Vahanian Decision-making in elderly patients with severe aortic stenosis: why are so many denied surgery? Eur. Heart J., December 2, 2005; 26(24): 2714 - 2720. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. M. Johnson, J. M. Smith, S. E. Woods, M. P. Hendy, and L. F. Hiratzka Cardiac Surgery in Octogenarians: Does Age Alone Influence Outcomes? Arch Surg, November 1, 2005; 140(11): 1089 - 1093. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Collart, H. Feier, F. Kerbaul, A. Mouly-Bandini, A. Riberi, T. G. Mesana, and D. Metras Valvular surgery in octogenarians: operative risks factors, evaluation of Euroscore and long term results Eur. J. Cardiothorac. Surg., February 1, 2005; 27(2): 276 - 280. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. DiGregorio, K. J. Zehr, T. A. Orszulak, C. J. Mullany, R. C. Daly, J. A. Dearani, and H. V. Schaff Results of mitral surgery in octogenarians with isolated nonrheumatic mitral regurgitation Ann. Thorac. Surg., September 1, 2004; 78(3): 807 - 813. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-F. Legare, J. F. Gummert, and F. W. Mohr Outcomes in nonagenerians after open heart operation Ann. Thorac. Surg., August 1, 2004; 78(2): 754 - 754. [Full Text] [PDF]
|
|
|
|
|
|
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]
|
|
|
|
|
|
A. K. Srinivasan, A. Y. Oo, A. D. Grayson, R. Lowe, R. A. Perry, B. M. Fabri, and A. Rashid Mid-term survival after cardiac surgery in elderly patients: analysis of predictors for increased mortality Interactive CardioVascular and Thoracic Surgery, June 1, 2004; 3(2): 289 - 293. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. F. Northrup III, R. W. Emery, D. M. Nicoloff, T. J. Lillehei, A. R. Holter, and D. P. Blake Opposite trends in coronary artery and valve surgery in a large multisurgeon practice, 1979-1999 Ann. Thorac. Surg., February 1, 2004; 77(2): 488 - 495. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Muneretto, G. Bisleri, A. Negri, J. Manfredi, E. Carone, J. A. Morgan, M. Metra, and L. Dei Cas Left internal thoracic artery-radial artery composite grafts as the technique of choice for myocardial revascularization in elderly patients: A prospective randomized evaluation J. Thorac. Cardiovasc. Surg., January 1, 2004; 127(1): 179 - 184. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Muneretto, G. Bisleri, A. Negri, J. Manfredi, M. Metra, S. Nodari, L. Culot, and L. Dei Cas Total Arterial Myocardial Revascularization With Composite Grafts Improves Results of Coronary Surgery in Elderly: A Prospective Randomized Comparison With Conventional Coronary Artery Bypass Surgery Circulation, September 9, 2003; 108(90101): II-29 - 33. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Hall Cased based learning on the web Heart, September 1, 2003; 89(9): 979 - 979. [Full Text] [PDF]
|
|
|
|
|
|
R. Hall and M. Earley Learning on the Web. Case 1: syncope and palpitation in a patient following aortic valve replacement. Heart, September 1, 2003; 89(9): 979 - 979. [Full Text] [PDF]
|
|
|
|
|
|
P. A. Kurlansky, D. B. Williams, E. A. Traad, R. G. Carrillo, J. S. Schor, M. Zucker, S. Singer, and G. Ebra Arterial grafting results in reduced operative mortality and enhanced long-term quality of life in octogenarians Ann. Thorac. Surg., August 1, 2003; 76(2): 418 - 427. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Muneretto, A. Negri, G. Bisleri, J. Manfredi, A. Terrini, M. Metra, S. Nodari, and L. D. Cas Is total arterial myocardial revascularization with composite grafts a safe and useful procedure in the elderly? Eur. J. Cardiothorac. Surg., May 1, 2003; 23(5): 657 - 664. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M.-B. Edwards and K. M. Taylor Outcomes in nonagenarians after heart valve replacement operation Ann. Thorac. Surg., March 1, 2003; 75(3): 830 - 834. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. G. Demaria, M. Carrier, S. Fortier, R. Martineau, A. Fortier, R. Cartier, M. Pellerin, Y. Hebert, D. Bouchard, P. Page, et al. Reduced Mortality and Strokes With Off-Pump Coronary Artery Bypass Grafting Surgery in Octogenarians Circulation, September 24, 2002; 106(12_suppl_1): I-5 - I-10. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Kawachi, A. Nakashima, Y. Toshima, S. Kimura, and K. Arinaga Outcome of Cardiac and Thoracic Aortic Operation in Patients Over 80 Years Old Asian Cardiovasc Thorac Ann, March 1, 2002; 10(1): 12 - 15. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L.A. Pierard Cardiac surgery in octogenarians: who, when and how? Eur. Heart J., July 2, 2001; 22(14): 1159 - 1161. [PDF]
|
|
|
|
|
|
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]
|
|
|
|
|
|
C. Hagl, J. D. Galla, D. Spielvogel, S. L. Lansman, R. Squitieri, C. A. Bodian, M. A. Ergin, and R. B. Griepp Is aortic surgery using hypothermic circulatory arrest in octogenarians justifiable? Eur. J. Cardiothorac. Surg., April 1, 2001; 19(4): 417 - 423. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. C. Stamou and P. J. Corso Coronary revascularization without cardiopulmonary bypass in high-risk patients: a route to the future Ann. Thorac. Surg., March 1, 2001; 71(3): 1056 - 1061. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B J Bouma, J H P van der Meulen, R B A van den Brink, A E R Arnold, A Smidts, L H Teunter, K I Lie, and J G P Tijssen Variability in treatment advice for elderly patients with aortic stenosis: a nationwide survey in the Netherlands Heart, February 1, 2001; 85(2): 196 - 201. [Abstract] [Full Text]
|
|
|
|
|
|
B. Iung VALVE DISEASE: Interface between valve disease and ischaemic heart disease Heart, September 1, 2000; 84(3): 347 - 352. [Full Text] [PDF]
|
|
|
|
 |
|
 A. Loeckinger, A. Kleinsasser, K. H. Lindner, J. Margreiter, C. Keller, and C. Hoermann Continuous Positive Airway Pressure at 10 cm H2O During Cardiopulmonary Bypass Improves Postoperative Gas Exchange Anesth. Analg., September 1, 2000; 91(3): 522 - 527. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Hirose, A. Amano, S. Yoshida, A. Takahashi, N. Nagano, and T. Kohmoto Coronary Artery Bypass Grafting in the Elderly Chest, May 1, 2000; 117(5): 1262 - 1270. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. C. Stamou, G. Dangas, M. K.C. Dullum, A. J. Pfister, S. W. Boyce, A. S. Bafi, J. M. Garcia, and P. J. Corso Beating heart surgery in octogenarians: perioperative outcome and comparison with younger age groups Ann. Thorac. Surg., April 1, 2000; 69(4): 1140 - 1145. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Pretre and M. I Turina VALVE DISEASE: Cardiac valve surgery in the octogenarian Heart, January 1, 2000; 83(1): 116 - 121. [Full Text] [PDF]
|
|
|
|
 |
|
 B. Glenville Minimally invasive cardiac surgery BMJ, July 17, 1999; 319(7203): 135 - 136. [Full Text]
|
|
|
|
|
|
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]
|
|
|
|
|
|
C. Blanche, S. S. Khan, A. Chaux, T. A. Denton, M. Sandhu, T.-P. Tsai, and A. Trento Cardiac reoperations in octogenarians: analysis of outcomes Ann. Thorac. Surg., January 1, 1999; 67(1): 93 - 98. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. J. R. Dalrymple-Hay, A. Alzetani, S. Aboel-Nazar, M. Haw, S. Livesey, and J. Monro Cardiac surgery in the elderly Eur. J. Cardiothorac. Surg., January 1, 1999; 15(1): 61 - 66. [Abstract] [Full Text] [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 |
