HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Rich, M. W. Articles by Kouchoukos, N. T. Search for Related Content PubMed PubMed Citation Articles by Rich, M. W. Articles by Kouchoukos, N. T.

The Annals of Thoracic Surgery, Vol 46, 638-644, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

Morbidity and mortality of coronary bypass surgery in patients 75 years of age or older

MW Rich, AJ Keller, KB Schechtman, WG Marshall Jr and NT Kouchoukos
Geriatric Cardiology Section, Jewish Hospital, Washington University Medical Center, St. Louis, MO 63110.

To determine factors associated with an increased risk of postoperative complications in elderly patients, 60 consecutive patients 75 years of age or older undergoing isolated coronary artery bypass grafting (CABG) were evaluated. Thirty-nine patients (65.0%) had at least one major postoperative complication, including 2 deaths (3.3%). Low body weight was the only univariate predictor (p less than 0.05) of an increased likelihood of complications overall. Prior cardiac operation, low serum cholesterol value, and prolonged cardiopulmonary bypass time were associated with increased bleeding. Electrocardiographic evidence of left ventricular hypertrophy was associated with prolonged postoperative confusion. Age of 80 years or more and increased cross- clamp time were predictive of pulmonary dysfunction. Low cardiac output occurred more frequently in patients with nonsinus rhythm, prior cardiac operation, recent congestive heart failure, or elevated level of blood urea nitrogen. Identification of risk factors for specific complications should prompt further studies to define ways of reducing morbidity and the resultant high cost associated with CABG in elderly patients.

This article has been cited by other articles:

				B. W. Ullery, J. C. Peterson, F. Milla, M. T. Wells, W. Briggs, L. N. Girardi, W. Ko, A. J. Tortolani, O. W. Isom, and K. H. Krieger Cardiac Surgery in Select Nonagenarians: Should We or Shouldn't We? Ann. Thorac. Surg., March 1, 2008; 85(3): 854 - 860. [Abstract] [Full Text] [PDF]

				P. K. Smith, M. Carrier, J. C. Chen, A. Haverich, J. H. Levy, P. Menasche, S. K. Shernan, F. Van de Werf, P. X. Adams, T. G. Todaro, et al. Effect of pexelizumab in coronary artery bypass graft surgery with extended aortic cross-clamp time. Ann. Thorac. Surg., September 1, 2006; 82(3): 781 - 788. [Abstract] [Full Text] [PDF]

				M. Yamamuro, B. W. Lytle, S. K. Sapp, D. M. Cosgrove III, F. D. Loop, and P. M. McCarthy Risk factors and outcomes after coronary reoperation in 739 elderly patients Ann. Thorac. Surg., February 1, 2000; 69(2): 464 - 474. [Abstract] [Full Text] [PDF]

				D. J. Miller, L. E. Samuels, M. S. Kaufman, R. J. Morris, M. P. Thomas, and S. K. Brockman Coronary Artery Bypass Surgery in Nonagenarians Angiology, August 1, 1999; 50(8): 613 - 617. [Abstract] [PDF]

				N. M. Cohen, R. J. Damiano Jr, and A. S. Wechsler Is There an Alternative to Potassium Arrest? Ann. Thorac. Surg., September 1, 1995; 60(3): 858 - 863. [Abstract] [Full Text]