Urgent cardiac surgery in octogenarians
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : G. Faggian1, A. D. Milano1, F. Santini1, G. Petrilli1, M. Pizzuti1, M. Galati1, P. Franchi2, A. Mazzucco1
- چاپ و سال / کشور: 2011
Description
Background: Urgent or emergent cardiac surgery in the elderly is burdened by high operative mortality and unacceptable postoperative quality of life. Methods: From 1998 to 2007, 251 patients aged 80 years underwent nonelective cardiac surgery for urgent (n¼229) or emergent (n¼22) indications. A logistic regression to identify incremental risk factors for postoperative death was performed. Results: The overall early mortality was of 12%, with 8% in urgent and 45% in emergent cases. The most frequent causes of death were infections, particularly pneumonia (23%), renal failure (20%), CVA (17%), respiratory failure (10%), and multisystem organ failure (10%). Incremental risk factors for early mortality were age, emergent procedure, aortic procedure, cardiopulmonary bypass time, and the presence of a major postoperative complication. Mean follow-up time was 5.4 ± 3.2 years. Conclusions: An urgent cardiac surgery can be performed in octogenarians with acceptable operative mortality and good long-term survival.
Eur Surg (2011) 43/2: 90–95 DOI 10.1007/s10353-011-0606-x Received January 5, 2011; accepted after revision March 21, 2011
