Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/10418
Title: What factors influence the results of coronary artery bypass grafting in aged patients?
Authors: Ishikawa, S;Buxton, Brian F;Manson, N;Hadj, Andrew K;Seevanayagam, Sievn;Raman, Jai S;Matalanis, George;Rosalion, Alexander;Ueda, K
Affiliation: Department of Cardiac Surgery, Austin Hospital University of Melbourne, Melbourne, Australia. ishikawa@med.teikyo-u.ac.jp
Issue Date: 1-Aug-2007
Citation: The Journal of Cardiovascular Surgery; 48(4): 505-8
Abstract: Early and late results were studied in order to improve the indication for coronary artery bypass grafting (CABG) and to enhanceA total of 1 973 patients aged 70 years and older who had undergone isolated CABG were studied. Elective operations (EL) were performed in 1 716 patients and 257 patients underwent urgent or emergency operations (UR/EM). Patients were divided into two groups; 104 patients aged 80 years and older (Oct. Group) and 1 869 patients of septuagenarians (Sept. Group). There were no differences between the groups in the number of diseased vessels.Total operative mortality rates in the Oct. and the Sept. groups were 7% and 4%, respectively. The operative mortality of elective surgery was 4% in both groups. The operative mortality of UR/EM CABG was significantly higher in the Oct. group than in the Sept. group (21% vs 6%). Operative mortality was significantly higher in patients with preoperative poor (<49%) left ventricular ejection fraction (LVEF) than in patients with higher (>50%) LVEF (6% vs 3%). Among preoperative risk factors, diabetes mellitus and peripheral vascular disease were significant contributory factors to operative death. In the follow-up study, 70% patients of the Oct. group and 72% patients of the Sept. group survived. Preoperative number of diseased vessels and number of CABG grafts did not influence the early and latePreoperative poor LVEF, diabetes mellitus and peripheral vascular disease were significant contributory factors to operative death. When feasible, CABG in octogenarians should be performed electively.
Internal ID Number: 17653012
URI: http://ahro.austin.org.au/austinjspui/handle/1/10418
URL: http://www.ncbi.nlm.nih.gov/pubmed/17653012
Type: Journal Article
Subjects: Age Factors
Aged
Aged, 80 and over
Coronary Artery Bypass.adverse effects.mortality
Coronary Artery Disease.complications.mortality.surgery
Female
Follow-Up Studies
Humans
Male
Patient Selection
Reoperation
Retrospective Studies
Risk Factors
Severity of Illness Index
Stroke Volume
Treatment Outcome
Appears in Collections:Journal articles

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