Cardiac surgery in octogenarians. Peri-operative outcome and long-term results

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Abstract
Aims Because the elderly are increasingly referred for operation, we reviewed the results of cardiac surgery in patients of 80 years or older. Methods and Results Records of 182 consecutive octogenarians who had had cardiac operations between 1992 and 1998 were reviewed. Follow-up was 100% complete. Seventy patients had coronary grafting (CABG), 70 aortic valve replacement, 30 aortic valve replacement+CABG, and 12 mitral valve repair/replacement. Rates of hospital death, stroke, and prolonged stay (>14 days) were as follows: CABG: 7 (10%), 2 (2·8%) and 41 (58%); aortic valve replacement: 6 (8·5%), 2 (2·8%) and 32 (45·7%); aortic valve replacement+CABG: 8 (26·5%), 1 (3·8%) and 14 (46·6%); mitral valve repair/replacement: 3 (25%), 1 (8·3%) and 5 (41·6%). Multivariate predictors (PConclusion Cardiac operations are successful in most octogenarians with increased hospital mortality, and longer hospital stay. Long-term survival and quality of life are good.