Coronary Bypass Surgery in a 105-Year-Old Patient with Cardiopulmonary Bypass

Ogus, Temucin Noyan; Erdim, Filiz; Selimoglu, Ozer; Tekiner, Fatih; Uğurlucan, Murat

doi:10.1155/2010/725173

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…The medical evaluation for patients with advanced ages should focus on identifying risk factors, optimizing status, predicting complications, and providing appropriate information. Some studies have described cases of surgery in patients aged >100 years, for example, coronary bypass surgery in a 105-year-old patient 3) , abdominal wall reconstruction in a 105-year-old patient 4) , and osteosynthesis for hip fracture in a 107-year-old patient 5) . They reported that in each case, detailed risk assessment, surgical planning, and meticulous postoperative management were the reasons for the successful surgical treatment [3][4][5] .…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of an open tibial fracture in a 102-year-old woman: a case report

2020

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Introduction: As the average life expectancy is increasing, the number of patients aged >100 years who have fragility fractures will increase in the future. In female patients, the incidence of open fractures increases with age. Case Presentation: We present the case of a 102-year-old woman with open tibial and fibular diaphyseal fractures (Gustilo-Anderson classification type IIIb) treated with temporary external fixation, advancement flap, and negative pressure wound therapy in the first-stage surgery and treatment, and open reduction and internal fixation with skin grafting in the second-stage surgery. Open wound and bone healing were attained. Conclusion: Surgery should not be denied on the basis of age alone. Medical evaluation should focus on identifying risk factors, assessing risk in detail, optimizing status, predicting complications, and making the appropriate surgical plan for the patient status. Moreover, in the present case, meticulous postoperative management was the main reason for the successful surgical treatment.

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Section: Discussionmentioning

confidence: 99%

Successful treatment of an open tibial fracture in a 102-year-old woman: a case report

2020

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“…With the first decade of the 21st century, the frequency of octogenarians and ultra-octogenarians, coronary and valvulopathic patients treated with cardiac surgery, has progressively increased up to representing about 6-10% of cardiac surgery operations [4]. Recent evidence in the literature describes cardiac surgery even in ninety-year-olds [5] and beyond [6]. Patients over 80 are however susceptible to a longer length of stay in intensive care and hospital (1.5 or 2 times greater than patients under 80) [4].…”

Section: Introductionmentioning

confidence: 99%

A Cox’s Proportional Model to Assess Survival Prognostic Factors in Patients Over 85 Years of Age Undergoing Heart Surgery

2022

Int J Geriatr Gerontol

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Introduction: "The progressive and growing prevalence of octuagenarians (O) and over-octuagenarians (>O), susceptible to cardiac surgery has generated an ethical and economic reflection on the usefulness and opportunity to use the limited resources of intensive care for these patients. Methods: The primary end point of the study has been highlight any difference in postoperative and ICU mortality between patients (O) and (>O) by setting a Cox's proportional hazard model. Results: The 6.9% of the population studied were 85 years of age or older; therefore the over 85 yrs sub-group (≥ 85 yrs.) was 889 patients and the under 85 yrs sub-group 11966. Hospital mortality was found to be significantly higher (+4.3%) in the over 85 yrs. Factors significantly associated with postoperative hospital survival of over 85 yrs. were found to be: (i) male gender, arterial disease, COPD, pathology of the aortic and mitral valve; (ii) interaction unstable angina and common trunk obstruction, the value of the CCS scale; (iii) RBC and FFP transfusions, together with total blood loss; (iv) post-operative septic shock, acute renal failure, cerebral stroke, mechanical ventilation, ventilator associated pneumonia, and tracheostomy. Conclusions: Our data suggest the importance of the age variable as well as the fact that the two populations are distinct and different. A further and future multivariate analysis will be conducted with the use of propensity score matching.

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Coronary Bypass Surgery in a 105-Year-Old Patient with Cardiopulmonary Bypass

Cited by 2 publications

References 13 publications

Successful treatment of an open tibial fracture in a 102-year-old woman: a case report

Successful treatment of an open tibial fracture in a 102-year-old woman: a case report

A Cox’s Proportional Model to Assess Survival Prognostic Factors in Patients Over 85 Years of Age Undergoing Heart Surgery

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