Cardiac surgery in patients over the age of 80 years
| Autor: | S. H. Wald, R. K. Myler, L. L. Malabed, Tali T. Bashour, C. Ryan, Dean T. Mason, J. Feeney, C. Antonini, J. Iskikian, Elias S. Hanna |
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| Rok vydání: | 1990 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment law.invention Aortic valve replacement law Internal medicine medicine Cardiopulmonary bypass Humans In patient cardiovascular diseases Cardiac Surgical Procedures Aged Aged 80 and over Cardiopulmonary Bypass business.industry Mitral valve replacement General Medicine medicine.disease Primary ventricular fibrillation Surgery Cardiac surgery medicine.anatomical_structure cardiovascular system Cardiology Female Left Atrial Myxoma Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Clinical Cardiology. 13:267-270 |
| ISSN: | 1932-8737 0160-9289 |
| DOI: | 10.1002/clc.4960130407 |
| Popis: | The risk-benefit relationship of open heart surgery in octogenarians is not well established. Eighty consecutive patients over the age of 80 who underwent cardiac operations under cardiopulmonary bypass were evaluated. Twenty-five patients were in functional class IV, 42 in class III, and 13 in class II. Forty-four patients had only coronary artery bypass grafts (CABG), 12 only aortic valve replacement (AVR), 6 only mitral valve replacement (MVR), 12 CABG and AVR, 4 CABG and MVR, 1 CABG and aneurysmectomy, and 1 had resection of left atrial myxoma. Operative mortality (within 30 days) was 12.5% for the group. Mortality was related to bleeding, left ventricular failure, primary ventricular fibrillation, pulmonary failure, and renal failure. Mortality was higher in patients with (1) advanced functional class, (2) mitral valve replacement, (3) postoperative hemorrhage, and (4) associated pulmonary disease. While a generally conservative approach is recommended for octogenarian patients, many with life-threatening cardiac disease, especially those free of major multisystem illnesses, should not be denied the benefit of surgical treatment. |
| Databáze: | OpenAIRE |
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