Early and midterm outcomes of coronary artery bypass grafting in octogenarians / 中华外科杂志
Chinese Journal of Surgery
; (12): 128-130, 2012.
Article
in Chinese
| WPRIM (Western Pacific)
| ID: wpr-257541
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the early and midterm postoperative outcomes and analyze risk factors of coronary artery bypass grafting (CABG) in octogenarians.</p><p><b>METHODS</b>Clinical data of 38 patients aged 80 years or greater receiving isolated coronary artery bypass grafting from September 2001 to November 2010 were reviewed. There were 33 male and 5 female patients, aging from 80 to 87 years with a mean of (82.6 ± 1.2) years. Twelve patients underwent conventional (on-pump) CABG and 26 patients underwent off-pump CABG. The number of bypass grafts was 1 to 5 (mean 2.5 ± 1.1). Left internal mammary artery was used in 37 (97.3%) patients.</p><p><b>RESULTS</b>The perioperative mortality was 2.6% (1/38). Postoperative complications included stroke (4 cases), respiratory infection (1 case). The atrial arrhythmias occurred in 25 patients. Intensive care unit and hospital length of stay lasted (3.8 ± 1.4) days and (15 ± 6) days, respectively. Totally 38 patients were followed up for 4 to 70 months. Six patients died during the follow-up period. The 92.6% patients recovered without any cardiac events.</p><p><b>CONCLUSIONS</b>Isolated CABG can be performed safely with acceptable postoperative morbidity and mortality in octogenarians. Appropriate surgical strategy and intensive perioperative treatment must be enhanced in octogenarians who underwent CABG.</p>
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Coronary Artery Bypass
/
Retrospective Studies
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Risk Factors
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Follow-Up Studies
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Treatment Outcome
Type of study:
Etiology study
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Observational study
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Prognostic study
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Risk factors
Limits:
Aged
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Aged, 80 and over
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Female
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Humans
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Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2012
Document type:
Article