BACKGROUND: With the progressive aging of western populations, cardiac surgeons are increasingly faced with elderly @entity1 . METHODS: We reviewed the records of 191 consecutive @entity1 aged 80 years or older (mean age, 83 +/- 2.4 years) who underwent a cardiac surgical procedure at our institution from 1991 through 1996. RESULTS: Ninety-eight @entity1 were @entity1 . Preoperatively, 32% of @entity1 were in New York Heart Association class III or IV, and mean left ventricular ejection fraction was 0.55 +/- 0.02. One hundred ten @entity1 (58%) underwent aortic valve replacement, 47 (25%) had coronary artery bypass grafting, 26 (14%) had combined aortic valve replacement and coronary artery bypass grafting, 5 (3%) underwent mitral valve replacement, and 3 (1.6%) had other procedures. @entity260 occurred in 69.1% of @entity1 . The hospital mortality rate was 16.2%. Actuarial survival estimates at 1 year, 3 years, and 5 years were 79.2%, 74.9%, and 56.2%, respectively. Multivariate predictors (p < 0.05) of hospital @entity204 were @entity120 and lower left ventricular ejection fraction. Multivariate predictors of late @entity204 were combined aortic valve replacement and coronary artery bypass grafting and female sex. Sixty-four percent of long-term survivors were fully autonomous, and female sex was the only independent predictor of impaired autonomy. Eighty-three percent of survivors were satisfied with their present quality of life. CONCLUSIONS: Cardiac operations can be performed in octogenarians with a favorable long-term outcome. Earlier referral and intervention is mandatory to improve results in this @entity1 population.

Cardiac operations in octogenarians: perioperative risk factors for XXXX and impaired autonomy.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'men'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity120 :: ('MESH:D006976', 'Disease') :: ['preoperative pulmonary hypertension'] @entity260 :: ('MESH:D011183', 'Disease') :: ['Postoperative complications']
@entity204 :: (MESH:D003643,Disease) :: ['death']
