Mid- and Long-Term Outcomes of Total Arterial Myocardial Revascularization in Patients Aged 70 Years and Older: A Single-Center Experience

Jussli-Melchers, Jill; Panholzer, Bernd; Friedrich, Christine; Broch, Ole Jacob; Huenges, Katharina; Cremer, J.; Haneya, Assad

doi:10.1055/s-0038-1669928

Cited by 2 publications

(3 citation statements)

References 25 publications

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“…Postoperative health-related quality of life (HRQoL) in operated ATAAD patients has been reported to be significantly lower than in the general population [112][113][114]. Furthermore, HRQoL has been shown to decline over time [112] and there is a 32% incidence of ATAAD patients suffering from episodes of depression; up to 32% are at risk of post-traumatic stress disorder and ATAAD patients have reported that they have reduced sexual activity [115].…”

Section: Outcome and Long-term Follow-upmentioning

confidence: 99%

Acute type A aortic dissection – a review

Guðbjartsson

Ahlsson

Geirsson

et al. 2019

Scandinavian Cardiovascular Journal

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Acute type A aortic dissection (ATAAD) is still one of the most challenging diseases that cardiac surgeons encounter. This review is based on the current literature and includes the results from the Nordic Consortium for Acute Type-A Aortic Dissection (NORCAAD) database. It covers different aspects of ATAAD and concentrates on the outcome of surgical repair. The diagnosis is occasionally delayed, and ATAAD is usually lethal if prompt repair is not performed. The dynamic nature of the disease, the variation in presentation and clinical course, and the urgency of treatment require significant attentiveness. Many surgical techniques and perfusion strategies of varying complexity have been described, ranging from simple interposition graft to total arch replacement with frozen elephant trunk and valve-sparing root reconstruction. Although more complex techniques may provide long-term benefit in selected patients, they require significant surgical expertise and experience. Short-term survival is first priority so an expedited operation that fits in with the surgeon's level of expertise is in most cases appropriate. ARTICLE HISTORY Definitions and classification systemsDissection of the aorta occurs when the aortic media is separated, usually by pulsatile flow that penetrates the intimal layer of the aortic wall [14] (Figure 1(b)). This allows blood to flow between the layers of the aortic wall, forcing the layers apart, creating a false lumen parallel to the native (i.e. true) aortic lumen (Figure 1(b)). Consequently, the false lumen can propagate in both directions from the tear of intima and affect most of its distal branches, including the coronary, cerebral, and mesenteric arteries [15]. Another-but less common-CONTACT Tomas Gudbjartsson

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Section: Outcome and Long-term Follow-upmentioning

confidence: 99%

Acute type A aortic dissection – a review

Guðbjartsson

Ahlsson

Geirsson

et al. 2019

Scandinavian Cardiovascular Journal

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“…The use of total arterial grafts in elderly patients aged 70 years or older demonstrated greater survival compared to myocardial revascularization with the use of venous grafts. Revascularization by total arterial grafts provided not only a higher survival rate, but also a reduction in the occurrence of adverse cardiovascular events and a lower need for coronary reintervention compared to the use of venous grafts (JUSSLI-MELCHERS et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…On the other hand, no significant differences were observed in clinical outcomes between CABG with and without cardiopulmonary bypass. Thus, CRM remains an effective option for the treatment of elderly patients with coronary artery disease, offering long-term benefits (ONO et al, 2021;JUSSLI-MELCHERS et al, 2019;ERDIL et al, 2010;DIEGLER et al, 2019;KAUFMAN et al, 2018;PHAN et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

Risks and Benefits of Myocardial Revascularization Surgery in Elderly People With Coronary Arterial Disease

Silva,

Porfirio,

Bento

et al. 2023

JHS

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Objective: To assess the risks and benefits of coronary artery bypass grafting in elderly patients with coronary artery disease, in order to investigate the clinical outcomes of the surgery and its effects on the quality of life of these patients. Methodology: A literature review was carried out through searches in the PubMed and Scientific Electronic Library Online (SciELO) databases. After applying the inclusion and exclusion criteria, 9 articles were selected from the PubMed database and 2 articles from SciELO, totaling 11 studies used in the analysis. Discussion: The different types of studies analyzed point to the fact that surgical indication in the elderly must take into consideration, their preferences and comorbidities. The clinical results of elderly patients undergoing myocardial revascularization demonstrated a longer survival compared to patients who used only drug treatment. Conclusion: The elderly undergoing myocardial revascularization have a satisfactory clinical outcome compared to those who used only drug treatment. However, it is necessary to expand research to analyze the clinical outcomes and quality of life of the elderly undergoing surgical revascularization.

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Mid- and Long-Term Outcomes of Total Arterial Myocardial Revascularization in Patients Aged 70 Years and Older: A Single-Center Experience

Abstract: This study suggests that TA revascularization is an effective procedure. Lower rates of late cardiac events encourage the use of this concept for the elderly.

Cited by 2 publications

References 25 publications

Acute type A aortic dissection – a review

Acute type A aortic dissection – a review

Risks and Benefits of Myocardial Revascularization Surgery in Elderly People With Coronary Arterial Disease

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