Cardiac surgery in octogenarians--a better prognosis in XXXX .

@entity1 @entity64 @entity712 @entity583 @entity548 @entity260 @entity177 @entity1459 @entity955 @entity453
BACKGROUND: Cardiac surgery is being performed with increasing frequency in @entity1 aged 80 years and older. OBJECTIVES: To examine the long and short-term results of surgery in this age group. METHODS: We retrospectively investigated 202 consecutive @entity1 aged 80 years or older who underwent cardiac surgery between 1991 and 1999, Ninety-six operations (48%) were urgent. RESULTS: The study group comprised 140 @entity1 (69%) and 62 @entity1 (31%) with a mean age of 82.1 years (range 80-89). Preoperatively, 120 @entity1 (59%) had @entity1459 , 37 (18%) had @entity453 , 22 (11%) had @entity177 , 17 (8.5%) had a history of @entity64 and 13 (6.5%) had previous cardiac surgery. Hospital mortality for the whole group was 7.4%. @entity260 included: re-exploration for @entity548 in 15 (7.4%), @entity64 in 8 (4%), sternal wound infection in 3 (1.5%), low cardiac output in 17 (8.4%), new Q wave @entity583 in 5 (2.5%), @entity177 in 17 (8.5%), and @entity955 in 71 (35%). The actuarial survival for @entity1 discharged from the hospital was 66% at 5 years and 46% at 8 years. The type of surgical procedure was significantly associated with increased early mortality (coronary artery bypass grafting only in 2.9%, CABG + valve in 16.1%, valve only in 16.7%; P = 0.01). Significant predictors (P < 0.05) for late mortality included type of surgical procedure, @entity712 . CONCLUSIONS: When appropriately applied in selected octogenarians, cardiac surgery can be performed with acceptable mortality and good long-term results.
