Clinical Medicine Insights: Geriatrics

Is there an Age Limit for Cardiac Surgery?

Submit a Paper

Clinical Medicine Insights: Geriatrics 2008:2 31-33

Published on 26 Sep 2008

Further metadata provided in PDF

Sign up for email alerts to receive notifications of new articles published in Clinical Medicine Insights: Geriatrics

Malakh Shrestha, Nawid Khaladj, Hassina Baraki, Axel Haverich and Christian Hagl

Division of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.


Introduction: This study was undertaken to analyze the risk of peri-operative mortality and morbidity after Cardiac Surgery with Cardio-pulmonary Bypass (CPB) in Patients above 85 years of age.

Patients and Methods: Between 1/2001 and 05/2005 thirty-nine patients   85 years of age at the time of surgery were examined. Median age was 87 years (85–92), 13 were males and 26 were females. 11 (28%) were urgent cases, and 4 (10%) considered as emergencies. 12 (32.5%) received CABG, 14 (35%) aortic valve replacement and in 10 (25%) a combination of the both was performed. The remaining had a combination of CABG with other operations.

Results: Peri-operative mortality was 7.7% (3 pts). All were in the emergency group. One of them went into the OR under cardio-pulmonary resuscitation and died in the OR. The other two were urgent cases who died later in the ICU due to cardiac failure. Temporary neurological dysfunction (TND) was found in 10.3% (4 pts) of the survivers. Mean mechanical ventilation time was 1.5 days, mean ICU stay was 3 days and mean hospital stay 9 days.

Conclusion: Cardiac surgery with CPB in Octogenarians can be performed with an acceptable mortality in elective patients, but is associated with a dismal outcome under emergency conditions.




BibTex citation   (BIBDESK, LATEX)

What Your Colleagues Say About Libertas Academica
I have to say this was one of my most pleasant and friendly experiences as a peer reviewer. The clear and straight-forward requirements of Ophthalmology and Eye Diseases is a breath of fresh air in peer reviewing.
Dr Lampros Panagis (SUNY Downstate Medical Center, Brooklyn, NY, USA)
More Testimonials

Quick Links

New article and journal news notification services