Safety of Cardiac Surgery in Octogenarians and Nonagenarians

Abstract

We read with interest the article of Filsoufi et al1Filsoufi F. Rahmanian P.B. Castillo J.G. et al.Results and predictors of early and late outcomes of coronary artery bypass graft surgery in octogenarians.J Cardiothorac Vasc Anesth. 2007; 21: 784-792Abstract Full Text Full Text PDF PubMed Scopus (47) Google Scholar about excellent outcomes in cardiac surgery performed in the elderly. We recently published an article on the same subject and described a hospital mortality of 1.8%.2Zangrillo A. Sparicio D. Crivellari M. et al.Low perioperative mortality for cardiac surgery in octogenarians.Minerva Anestesiol. 2004; 70 (723-726): 717-723PubMed Google Scholar Although Filsoufi reported an overall mortality of 4.6% in a larger number of patients, the results in mortality are almost identical (1.9%) in the period from 2003 to 2006. Even if our population was at higher risk (including octogenarian patients undergoing valve and combined surgery), it should be acknowledged that cardiac surgery could be performed in selected octogenarians1Filsoufi F. Rahmanian P.B. Castillo J.G. et al.Results and predictors of early and late outcomes of coronary artery bypass graft surgery in octogenarians.J Cardiothorac Vasc Anesth. 2007; 21: 784-792Abstract Full Text Full Text PDF PubMed Scopus (47) Google Scholar, 2Zangrillo A. Sparicio D. Crivellari M. et al.Low perioperative mortality for cardiac surgery in octogenarians.Minerva Anestesiol. 2004; 70 (723-726): 717-723PubMed Google Scholar and nonagenarians,3Crivellari M. Landoni G. Bellotti F. et al.Multivessel off-pump coronary artery bypass grafting in a nonagenarian: anesthesiologic management.Minerva Anestesiol. 2006; 72: 1001-1005PubMed Google Scholar, 4Landoni G. Mamo D. Rosica C. et al.Elective cardiac anesthesia in a nonagenarian.J Cardiothorac Vasc Anesth. 2003; 17: 647-654Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar with excellent results. Results and Predictors of Early and Late Outcomes of Coronary Artery Bypass Graft Surgery in OctogenariansJournal of Cardiothoracic and Vascular AnesthesiaVol. 21Issue 6PreviewObjectives: The aim of this study was to investigate early and late outcomes of coronary artery bypass graft (CABG) surgery in a large cohort of octogenarian patients. The results were compared with 2 other age groups including septuagenarians and patients <70 years old.Design: A retrospective study of consecutive patients undergoing CABG surgery using a computerized database based on the New York State Department of Health registry. Data collection was performed prospectively.Setting: A university hospital (single institution). Full-Text PDF