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Outcome of Cardiac and Thoracic Aortic Operation in Patients Over 80 Years Old

Department of Cardiovascular Surgery Clinical Research Institute National Kyushu Medical Center Hospital Fukuoka, Japan
Yoshito Kawachi, MD Tel: 81 92 852 0700 Fax: 81 92 846 8485 email: kawachiy{at}qmed.hosp.go.jp Department of Cardiovascular Surgery, National Kyushu Medical Center Hospital, 1-8-1 Jigyo-hama, Chuo-ku, Fukuoka 810-8563, Japan.

A retrospective analysis was performed to determine the early outcome of cardiac and thoracic aortic surgery in patients over 80 years old. Between 1994 and 2000, 41 octogenarians (mean age, 82.6 ± 2.5 years) underwent coronary artery bypass grafting (25), valve surgery (8), thoracic aortic aneurysm repair (7), or combined valve and bypass surgery (1). Overall hospital mortality was 9.8%. Mortality rates for specific procedures were 12% for coronary bypass, 0% for valve surgery, and 14% for thoracic aortic aneurysm repair. Major postoperative complications affected 27% of patients and included severe low cardiac output, respiratory failure, and acute renal failure, with a low incidence of perioperative stroke (2.4%). Cardiac and thoracic aortic operations can be performed with acceptable mortality and morbidity when appropriately applied in selected octogenarians.

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