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The Anatolian Journal of Cardiology Coronary Bypass Surgery in Octogenarians [Anatol J Cardiol]
Anatol J Cardiol. 2001; 1(3): 156-163

Coronary Bypass Surgery in Octogenarians

Harun Arbatlı1, Ergun Demirsoy1, Selim Tansal1, Naci Yağan1, Faruk Tükenmez2, Deniz Şener3, Bingür Sönmez1
1Kadir Has Üniversitesi Florence Nightingale Hastanesi Kalp ve Damar Cerrahisi Bölümü İstanbul
2Department of Cardiovascular Surgery İstanbul Memorial Hospital, İstanbul, Turkey
3Department of Cardiology Surgery İstanbul Memorial Hospital, İstanbul, Turkey

Objective: The age of the patients referred for coronary bypass surgery is getting older progressively. Early and late postoperative outcome of actogenarians were evaluated and compared with younger age group in this study. Methods: Records of 55 patients aged 80 years or older (mean age 82.7±2.8) among 3834 patients, who had coronary bypass graft procedure, operated between 1995 and 2001 were reviewed retrospectively. Results: There were 39 men (70.9%) and 16 women (29.1%). Three patients had aortic valve replacement, 1 had left ventricular aneurysm repair, 1 hadf carotid endarterectomy additionally. Atrial fibrillation (21.8%), renal dysfunction (16.4%), and prolonged ventilation (10.9%) were the prominent complications. The hospital mortality rate was 7.27% (4 patients). kaplan Meier Survival Analysis estimated that at the end of 5 years 83.1±5.2% of patients were still alive. Conclusion: Coronary bypass operations can be performed in octogenarians with slightly increased but acceptable hospital mortality and longer hosptal stay. Early invervention and individual modifications in cardiopulmonary bypass techniques may improve the results in this patients population.

Keywords: Koroner Bypass Cerrahisi, 80 yaş

Harun Arbatlı, Ergun Demirsoy, Selim Tansal, Naci Yağan, Faruk Tükenmez, Deniz Şener, Bingür Sönmez. Coronary Bypass Surgery in Octogenarians. Anatol J Cardiol. 2001; 1(3): 156-163
Manuscript Language: English