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Tex Heart Inst J. 1983 June; 10(2): 137–141. | PMCID: PMC341625 |
Coronary Artery Bypass Surgery in the Septuagenarian Jerry B. Gooch, M.D., H. Edward Garrett, M.D., J. T. Davis, Jr., M.D., and Robert L. Richardson, M.D. Surgical Group for Thoracic and Cardiovascular Diseases, Memphis, Tennessee. Abstract Analyzed during a 3-year period were 86 patients from 70 to 80 years of age who underwent coronary artery bypass grafting without other cardiac procedures. The series included 57 men (66%) and 29 women (34%). The average follow-up period was 27 months. The early mortality rate for the men was 5.2%, and the overall mortality was 8.7%. This compared with an age-adjusted nationally expected death rate of 12.1% for this age group during this period of time. The early mortality rate for the women was 6.9%, with an overall mortality rate of 13.9%. This compared with an 8.7% age-adjusted nationally expected death rate. Factors which did not affect mortality in this particular series included smoking, hypertension, diabetes, and ejection fraction. Factors which did affect mortality included peripheral vascular disease (29% mortality), and postoperative complications (38% mortality). Of the 86 patients operated on from 1978 through 1980, ages 70 to 80, 88% are alive (76 of 86 patients). Of the patients living, 60.5% have no chest pain, and 26.3% describe their chest pain as significantly improved. When medical treatment alone fails, coronary artery bypass grafting is possible in the older age group to relieve disabling angina and improve the quality of life, with very acceptable mortality rates. Full text Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (453K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References. These references are in PubMed. This may not be the complete list of references from this article. - Ashor GW, Meyer BW, Lindesmith GG, Stiles QR, Walker GH, Tucker BL. Coronary artery disease: surgery in 100 patients 65 years of age and older. Arch Surg. 1973 Jul;107(1):30–33. [PubMed]
- Hoffmann RG, Blumlein SL, Anderson AJ, Barboriak JJ, Walker JA, Rimm AA. The probability of surviving coronary bypass surgery. Five-year results from 1,718 patients. JAMA. 1980 Apr 4;243(13):1341–1344. [PubMed]
- Kirklin JW, Kouchoukos NT, Blackstone EH, Oberman A. Research related to surgical treatment of coronary artery disease. Circulation. 1979 Dec;60(7):1613–1618. [PubMed]
- Knapp WS, Douglas JS, Jr, Craver JM, Jones EL, King SB, 3rd, Bone DK, Bradford JM, Hatcher CR., Jr Efficacy of coronary artery bypass grafting in elderly patients with coronary artery disease. Am J Cardiol. 1981 Apr;47(4):923–930. [PubMed]
- Meyer J, Wukasch DC, Seybold-epting W, Chiarielle L, Reul GJ, Jr, Sandiford FM, Hallman GL, Cooley DA. Coronary artery bypass in patients over 70 years of age: indications and results. Am J Cardiol. 1975 Sep;36(3):342–345. [PubMed]
- Stephenson LW, MacVaugh H, 3rd, Edmunds LH., Jr Surgery using cardiopulmonary bypass in the elderly. Circulation. 1978 Aug;58(2):250–254. [PubMed]
- Isom OW, Spencer FC, Glassman E, Cunningham JN, Teiko P, Reed GE, Boyd AD. Does coronary bypass increase longevity? J Thorac Cardiovasc Surg. 1978 Jan;75(1):28–37. [PubMed]
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