Surgical repair of remediable postinfarction XXXX in the elderly. Early and long-term results.

@entity1 @entity712 @entity339 @entity1757 @entity583 @entity1455 @entity204
The in-hospital mortality associated with @entity583 rises markedly with advancing age. It is not established whether the elderly may benefit from early surgical repair of postinfarction @entity1455 due to @entity1757 ( @entity1757 ), acute severe @entity339 ( @entity339 ), or left ventricular power failure. Eighteen consecutive @entity1 between the ages of 66 and 79 (mean, 72 years) and in @entity1455 underwent surgical repair, most with counterpulsation support, within one week of developing @entity1757 , @entity339 , or left ventricular power failure. Of ten @entity1 with @entity1757 , five (50%) survived. Three of seven @entity1 with @entity339 (43%) and the only @entity1 with power failure survived for an overall survival of 50%. The nine long-term survivors were followed up for six months to five years (mean 31 months) by personal interviews with the @entity1 or referring physician. There was one late @entity204 , due to @entity712 , ten months after the operation. Of the remaining eight @entity1 , seven are categorized as New York Heart Association class I, and one as class II. These @entity1 have all been able to live and function independently after cardiac operation. The authors conclude that older @entity1 with postinfarction @entity1455 may benefit from early operation and that advanced age does not preclude successful surgical outcome. Furthermore, operation may result in excellent long-term quality of life.
