Aortokoronare Bypasschirurgie bei uber 70jahrigen Patienten. [Aortocoronary bypass surgery in patients older than 70 years]

Détails

ID Serval
serval:BIB_0A468B246CE2
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Aortokoronare Bypasschirurgie bei uber 70jahrigen Patienten. [Aortocoronary bypass surgery in patients older than 70 years]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur(s)
Pasic  M., Laske  A., Carrel  T., Bauer  E., Turina  J., von Segesser  L., Turina  M.
ISSN
0036-7672
Statut éditorial
Publié
Date de publication
10/1991
Peer-reviewed
Oui
Volume
121
Numéro
40
Pages
1439-44
Notes
English Abstract
Journal Article --- Old month value: Oct 5
Résumé
From January 1981 to December 1990, 204 patients aged between 70 and 81 years underwent aortocoronary bypass surgery. Operative mortality (30-day mortality) was 6.8%. Actuarial survival rate at 1 and 5 years was 92% and 86% respectively. A higher incidence of postoperative complications was observed (arrhythmias in 19%, reoperation for bleeding in 5.4%, respiratory and neurological complications in 13% and 3% respectively, perioperative infarction in 4.4%). The mean follow-up was 25 months. Preoperatively most patients (71%) were in New York Heart Association (NYHA) functional class III and IV, and at the end of following-up in NYHA functional class I and II (95%) (p less than 0.001). A rapid rise in coronary artery surgery in the elderly is evident. It is associated with an increased but acceptable operative risk. Long-term results and postoperative improvement of functional status are very satisfactory.
Mots-clé
Age Factors Aged Aged, 80 and over Coronary Artery Bypass/mortality/*statistics & numerical data Female Heart Valve Prosthesis Humans Male Postoperative Complications/etiology Reoperation Risk Factors Survival Analysis
Pubmed
Web of science
Création de la notice
14/02/2008 15:17
Dernière modification de la notice
20/08/2019 13:32
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