Cardiac surgery in Australian octogenarians: 1996−2001

Abstract

Medium-term follow up of Australian octogenarians who were offered cardiac surgery revealed that 94% remain independent and with an excellent quality of life. Age alone must not be a barrier to access to cardiac surgery.

Off-pump Coronary Artery Bypass Grafting in Elderly and High-risk Patients – A Review

“…Elderly patients (>75years) have considerably more comorbidities and reduced end-organ reserve [3]. Studies investigating invasive revascularisation techniques frequently exclude this group of patients and there is a perception that surgery for the treatment of CAD in this group may be too "high-risk".…”

Coronary Bypass Surgery for Patients with Chronic Poor Preoperative Left Ventricular Function (EF<30%): 5-year Follow-up

“…11 Patients with carotid bruits and/ or age >80 years were screened with carotid ultrasound. Asymptomatic unilateral or bilateral high-grade (>80%) stenoses mandated carotid endarterectomy.…”

“…10 This study met the criteria of continuous ongoing unit quality assurance and patient confidentiality, and patients gave informed consent to participate in this research satisfying the respective three hospital human ethics committees. [10][11][12] Demographic, clinical and operative characteristics are given in Table 1. The performance of CABG has been described elsewhere.…”

Cardiac surgery in octogenarians and beyond

“…In the United States, it is expected that 43% of the population will reach the age of 80 1 . In Australia, men and women who reach 80 years may expect a further 7 and 10 years of life, respectively, the majority being disability free 2 …”

“…Over the past decade, the proportion of cardiac surgery patients aged 80 years or more has risen from negligible to 7% in selected centres 2 . ‐ 4 Surgical outcomes are encouraging: a 2002–03 report from six Victorian public hospitals revealed mortality rates of 2%–4% for elective CABG and 10%–12% for aortic valve replacement 4 .…”