Coronary Artery Bypass Surgery in Elderly People

Overview

Journal Postgrad Med J

Publisher Oxford University Press

Specialty General Medicine

Date 2007 Mar 9

PMID 17344568

Citations 23

Authors

Arun Natarajan

Samad Samadian

Stephen Clark

Affiliations

Soon will be listed here.

Abstract

An increasing number of elderly individuals are now undergoing coronary artery bypass surgery. Elderly patients, compared with patients of a younger age group, present for surgery with a greater burden of risk factors and reduced functional levels. Short-term outcomes are hence poorer in them. But symptom relief occurs in most survivors and is accompanied by excellent rates of long-term survival and a good quality of life. Therefore, an individualised risk-benefit profile must be carefully constructed by clinicians, taking into account several different factors and not just age alone. This review summarises the current concepts of coronary artery bypass surgery from the perspective of the very old.

Citing Articles

Predicting the Length of Stay of Cardiac Patients Based on Pre-Operative Variables-Bayesian Models vs. Machine Learning Models.

Abdurrab I, Mahmood T, Sheikh S, Aijaz S, Kashif M, Memon A Healthcare (Basel). 2024; 12(2).

PMID: 38255136 PMC: 10815919. DOI: 10.3390/healthcare12020249.

Delirium after Cardiac Surgery-A Narrative Review.

Mattimore D, Fischl A, Christophides A, Cuenca J, Davidson S, Jin Z Brain Sci. 2023; 13(12).

PMID: 38137130 PMC: 10741583. DOI: 10.3390/brainsci13121682.

The pathophysiology and management of depression in cardiac surgery patients.

Vu T, Smith J Front Psychiatry. 2023; 14:1195028.

PMID: 37928924 PMC: 10623009. DOI: 10.3389/fpsyt.2023.1195028.

Long-Term Survival of Multiple Versus Single Arterial Coronary Bypass Grafting in Elderly Patients.

Ren J, Royse C, Srivastav N, Lu O, Royse A J Clin Med. 2023; 12(7).

PMID: 37048677 PMC: 10094898. DOI: 10.3390/jcm12072594.

Preoperative frailty assessment could be a predictive factor for the prognosis of elderly patients undergoing coronary artery bypass grafting: a retrospective case-control study.

Pan R, Li X, Han J, Li Q, Lei Z, Huang H BMC Anesthesiol. 2023; 23(1):63.

PMID: 36855100 PMC: 9972799. DOI: 10.1186/s12871-023-02024-0.

References

Peterson E, Cowper P, Jollis J, Bebchuk J, DeLong E, Muhlbaier L . Outcomes of coronary artery bypass graft surgery in 24,461 patients aged 80 years or older. Circulation. 1995; 92(9 Suppl):II85-91. DOI: 10.1161/01.cir.92.9.85. View

Loran D, Zwischenberger J . Thoracic surgery in the elderly. J Am Coll Surg. 2004; 199(5):773-84. DOI: 10.1016/j.jamcollsurg.2004.08.008. View

Chee J, Filion K, Haider S, Pilote L, Eisenberg M . Impact of age on hospital course and cost of coronary artery bypass grafting. Am J Cardiol. 2004; 93(6):768-71. DOI: 10.1016/j.amjcard.2003.11.058. View

Angelini G, Taylor F, Reeves B, Ascione R . Early and midterm outcome after off-pump and on-pump surgery in Beating Heart Against Cardioplegic Arrest Studies (BHACAS 1 and 2): a pooled analysis of two randomised controlled trials. Lancet. 2002; 359(9313):1194-9. DOI: 10.1016/S0140-6736(02)08216-8. View

Taggart D, DAmico R, Altman D . Effect of arterial revascularisation on survival: a systematic review of studies comparing bilateral and single internal mammary arteries. Lancet. 2001; 358(9285):870-5. DOI: 10.1016/S0140-6736(01)06069-X. View

Loef B, Epema A, Navis G, Ebels T, van Oeveren W, Henning R . Off-pump coronary revascularization attenuates transient renal damage compared with on-pump coronary revascularization. Chest. 2002; 121(4):1190-4. DOI: 10.1378/chest.121.4.1190. View

Rumsfeld J, Magid D, OBrien M, McCarthy Jr M, Mawhinney S, Scd . Changes in health-related quality of life following coronary artery bypass graft surgery. Ann Thorac Surg. 2002; 72(6):2026-32. DOI: 10.1016/s0003-4975(01)03213-1. View

Hedeshian M, Namour N, Dziadik E, Stewart R, Campos C . Does increasing age have a negative impact on six-month functional outcome after coronary artery bypass?. Surgery. 2002; 132(2):239-44. DOI: 10.1067/msy.2002.125388. View

He G, Acuff T, Ryan W, Bowman R, Douthit M, Mack M . Determinants of operative mortality in elderly patients undergoing coronary artery bypass grafting. Emphasis on the influence of internal mammary artery grafting on mortality and morbidity. J Thorac Cardiovasc Surg. 1994; 108(1):73-81. View

10.

Ricci M, Karamanoukian H, Abraham R, von Fricken K, DAncona G, Choi S . Stroke in octogenarians undergoing coronary artery surgery with and without cardiopulmonary bypass. Ann Thorac Surg. 2000; 69(5):1471-5. DOI: 10.1016/s0003-4975(00)01238-8. View

11.

Murphy G, Ascione R, Angelini G . Coronary artery bypass grafting on the beating heart: surgical revascularization for the next decade?. Eur Heart J. 2004; 25(23):2077-85. DOI: 10.1016/j.ehj.2004.09.022. View

12.

Lytle B, Loop F, Cosgrove D, Ratliff N, Easley K, Taylor P . Long-term (5 to 12 years) serial studies of internal mammary artery and saphenous vein coronary bypass grafts. J Thorac Cardiovasc Surg. 1985; 89(2):248-58. View

13.

Penttila H, Lepojarvi M, Kiviluoma K, Kaukoranta P, Hassinen I, Peuhkurinen K . Myocardial preservation during coronary surgery with and without cardiopulmonary bypass. Ann Thorac Surg. 2001; 71(2):565-71. DOI: 10.1016/s0003-4975(00)02002-6. View

14.

Artinian N, Duggan C, Miller P . Age differences in patient recovery patterns following coronary artery bypass surgery. Am J Crit Care. 1993; 2(6):453-61. View

15.

Czerny M, Baumer H, Kilo J, Lassnigg A, Hamwi A, Vukovich T . Inflammatory response and myocardial injury following coronary artery bypass grafting with or without cardiopulmonary bypass. Eur J Cardiothorac Surg. 2000; 17(6):737-42. DOI: 10.1016/s1010-7940(00)00420-6. View

16.

Wilson M, Baig M, Ashraf H . Quality of life in octagenarians after coronary artery bypass grafting. Am J Cardiol. 2005; 95(6):761-4. DOI: 10.1016/j.amjcard.2004.11.031. View

17.

Deng M, Dasch B, Erren M, Mollhoff T, Scheld H . Impact of left ventricular dysfunction on cytokines, hemodynamics, and outcome in bypass grafting. Ann Thorac Surg. 1996; 62(1):184-90. DOI: 10.1016/0003-4975(96)00230-5. View

18.

Al-Ruzzeh S, Nakamura K, Athanasiou T, Modine T, George S, Yacoub M . Does off-pump coronary artery bypass (OPCAB) surgery improve the outcome in high-risk patients?: a comparative study of 1398 high-risk patients. Eur J Cardiothorac Surg. 2002; 23(1):50-5. DOI: 10.1016/s1010-7940(02)00654-1. View

19.

Kurlansky P, Williams D, Traad E, Carrillo R, Schor J, Zucker M . Arterial grafting results in reduced operative mortality and enhanced long-term quality of life in octogenarians. Ann Thorac Surg. 2003; 76(2):418-26; discussion 427. DOI: 10.1016/s0003-4975(03)00551-4. View

20.

Moshkovitz Y, Paz Y, Shabtai E, Cotter G, Amir G, Smolinsky A . Predictors of early and overall outcome in coronary artery bypass without cardiopulmonary bypass. Eur J Cardiothorac Surg. 1997; 12(1):31-9. DOI: 10.1016/s1010-7940(97)00129-2. View