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2009 | 4 | 2 | 218-221
Tytuł artykułu

Coronary artery bypass graft surgery in the elderly patients

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The purpose of this retrospective study was to determine the results of coronary artery surgery in the elderly patients and to compare the outcome with a younger group. Two hundred thirteen patients aged 70 years and older who underwent on-pump coronary artery surgery were retrospectively studied and data were compared with those of 524 patients aged 50–69. The groups were similar with respect to preoperative characteristics except for sex distribution and the incidences of peripheral vascular disease and prior cerebrovascular accident. The use of internal mammarian artery grafts was significantly lower in the elderly patients (80.3% versus 91.6%, p<0.001). The 30-day mortality for the elderly group was 4.7% while that of younger group was 2.3%. The elderly patients had a significantly higher incidence of postoperative low cardiac output, pulmonary complications and acute renal failure. The elderly group also had also significantly longer intensive care unit length of stay (1.9 versus 1.7 days, p=0.006) and postoperative length of stay (10.1 versus 7.4 days, p<0.001). Although mortality and complication rates are higher, coronary artery surgery can be performed with acceptable risk in the elderly patients. Old age alone should not be a deterrent factor for surgical revascularization in coronary artery disease.
Wydawca
Czasopismo
Rocznik
Tom
4
Numer
2
Strony
218-221
Opis fizyczny
Daty
wydano
2009-06-01
online
2009-03-27
Twórcy
autor
  • Faculty of Medicine, Department of Cardiovascular Surgery, Gazi University, 06500, Ankara, Turkey , loktar68@gmail.com
autor
  • Faculty of Medicine, Department of Cardiovascular Surgery, Gazi University, 06500, Ankara, Turkey
autor
  • Faculty of Medicine, Department of Cardiovascular Surgery, Gazi University, 06500, Ankara, Turkey
autor
  • Faculty of Medicine, Department of Cardiovascular Surgery, Gazi University, 06500, Ankara, Turkey
  • Faculty of Medicine, Department of Cardiovascular Surgery, Gazi University, 06500, Ankara, Turkey
autor
  • Faculty of Medicine, Department of Cardiovascular Surgery, Gazi University, 06500, Ankara, Turkey
Bibliografia
  • [1] Avery G.J., Ley S.J., Hill J.D., Hershon J.J., Dick S.E., Cardiac surgery in the octogenarian: Evaluation of risk, cost, and outcome, Ann. Thorac. Surg., 2001, 71, 591–6 http://dx.doi.org/10.1016/S0003-4975(00)02163-9[Crossref]
  • [2] Moshkovitz Y., Paz Y., Shabtai E., Cotter G., Amir G., Smolinsky A.K., et al., Predictors of early and overall outcome in coronary artery bypass without cardiopulmonary bypass, Eur. J. Cardiothorac. Surg., 1997, 12, 31–9 http://dx.doi.org/10.1016/S1010-7940(97)00129-2[Crossref]
  • [3] Loop F.D., Lytle B.W., Cosgrove D.M., Goormastic P., Taylor P.C., Golding L.A.R., et al., Coronary artery bypass graft surgery in the elderly. Indications and outcome., Clev. Clin. J. Med., 1988, 55, 23–34
  • [4] Loran D.B., Zwischenberger J.B., Thoracic surgery in the elderly, J. Am. Coll. Surg., 2004, 199, 773–84 http://dx.doi.org/10.1016/j.jamcollsurg.2004.08.008[Crossref]
  • [5] Alexander K.P., Anstrom K.J., Muhlbaier L.H., Grosswald R.D., Smith P.K., Jones R.H., et al, Outcomes of cardiac surgery in patients age > 80 years: results from the National Cardiovascular Network, J. Am. Coll. Cardiol., 2000, 35, 731–8 http://dx.doi.org/10.1016/S0735-1097(99)00606-3[Crossref]
  • [6] Freeman W.K., Schaff H.V., O’Brien P.C., Orszulak T.A., Naessens J.M., Tajik A.J., Cardiac surgery in the octogenarian: perioperative outcome and clinical follow-up, J. Am. Coll. Cardiol., 1991, 18, 29–35 http://dx.doi.org/10.1016/S0735-1097(10)80212-8[Crossref]
  • [7] Craver J.M., Puskas J.D., Weintraub W.W., a Shen Y., Guyton R.A., Gott J.P., et al., 601 Octogenarians undergoing cardiac surgery: outcome and comparison with younger age groups. surgery: outcome and comparison with younger age groups, Ann. Thorac. Surg., 1999, 67, 1104–10 http://dx.doi.org/10.1016/S0003-4975(99)00154-X[Crossref]
  • [8] Natarajan A., Samadian S., Clark S., Coronary artery bypass surgery in elderly people, Postgrad. Med., 2007, 83, 154–8 http://dx.doi.org/10.1136/pgmj.2006.049742[Crossref]
  • [9] Sollano J.A., Rose E.A., Williams D.L., Thornton B., Quint E., Apfelbaum M., et al., Cost-effectiveness of coronary artery bypass surgery in the octogenarians, Ann. Surg., 1998, 228, 298–306 http://dx.doi.org/10.1097/00000658-199809000-00003[Crossref]
  • [10] Graham M.M., Faris P.D., Ghali W.A., Knudtson M.L. on behalf of the APPROACH Investigators, Long-term outcome of revascularization or medical therapy in a cohort of elderly patients, J. Am. Coll. Cardiol., 2001, 37(Suppl A), 194A
  • [11] Edmunds L.H., Stephenson L.W., Edie R.N., Ratcliffe M.B., Open-heart surgery in octogenarians, N. Engl. J. Med., 1988, 319, 131–6
  • [12] Tsai T., Chaux A., Matloff J.M., Kass R.M., Gray R.J., DeRobertis M.A., et al., Ten-year experience of cardiac surgery in patients aged 80 years and over, Ann. Thorac. Surg., 1994, 58, 445–51 [Crossref]
  • [13] Kim C., Redberg R.F., Pavlic T., Eagle K.A., A systematic review of gender differences in mortality after coronary artery bypass graft surgery and percutaneous coronary Interventions, Clin. Cardiol., 2007, 30, 491–5 http://dx.doi.org/10.1002/clc.20000[Crossref][WoS]
  • [14] Morris R.J., Elberry J.R., Williams J.M., Kuretu M.L., Samuels L.E., Kresh J.Y., et al., Internal thoracic artery for coronary artery grafting in octogenarians, Ann. Thorac. Surg., 1996, 62, 16–22 http://dx.doi.org/10.1016/0003-4975(96)00252-4[Crossref]
  • [15] Jones J.W., Schmidt S.E., Miller C.C. 3rd., Beall A.C. Jr., Baldwin J.C., Bilateral internal thoracic artery operations in the elderly, J. Cardiovasc. Surg. (Torino), 2000, 41, 165–70
  • [16] Scott B.H., Seifert F.C., Grimson R., Glass P.S., Octogenarians undergoing coronary artery bypass graft surgery: Resource utilization, postoperative mortality, and morbidity, J. Cardiothorac. Vasc. Anesth, 2005, 19, 583–8 http://dx.doi.org/10.1053/j.jvca.2005.03.030[Crossref]
  • [17] Ng C.Y., Ramli M.F., Awang Y., Coronary bypass surgery in patients aged 70 years and over: mortality, morbidity, length of stay and hospital cost, Asian Cardiovasc. Thorac. Ann., 2004, 12, 218–23
  • [18] Peterson E.D., Cowper P.A., Jollis J.G., Bebchuk J.D., DeLong E.R., Muhlbaier L.H., et al., Outcomes of coronary artery bypass graft surgery in 24,461 patients aged 80 years and older, Circulation, 1995, 92(suppl 2), 85–91
  • [19] Zemanek D., Veselka J., Coronary artery anomalies - a short review, Cent. Eur. J. Med., 2007, 2, 140–253 http://dx.doi.org/10.2478/s11536-007-0012-8[Crossref]
  • [20] Banach M., Goch A., Misztal M., Rysz J., Zaslonka J., Goch J.H., et al., Relation between postoperative mortality and atrial fibrillation before surgical evascularization-3-year follow-up, Thorac. Cardiovasc. Surg., 2008, 56, 20–3 http://dx.doi.org/10.1055/s-2007-989249[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0077-z
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