Clinical efficacy of coronary artery bypass grafting in aged patients over 80
XIAO Zhi-bin
ZHANG Yong
LI Da-lian
YAO Jian-min
GUO Jian-zhong
CHENG Zhi-guang
CUI Yong-chao
LI Ying-ying
Abstract：Objective To observe the clinical efficacy of coronary artery bypass grafting (CABG) in aged patients over 80 with coronary heart disease (CHD).Methods The patients (n=60, male 53 and female 7, average age=82.65±2.27) with CABG were chosen from Oct. 2001 to Oct. 2013. Among them, there were 5 with emergency CABG, 6 with on-pump CABG, and 54 with off-pump CABG. The number of coronary bypass, respirator supporting time during perioperative period, hospitalization time, incidence of vital organs complications and short-term incidences of myocardial ischemia events were recorded.Results The average number of bypass was (3.13± 0.24), respirator supporting time after CABG was (10.11±4.37) h, average hospitalization time was (11.36±4.51) d. The perioperative mortality was 5%, and incidences of complications were, in a descending order, pleural effusion (48.3%), hyoxemia and hypercapnia (30.0%), atrial fibrillation (26.7%), renal insufficiency (23.3%) and low cardiac output syndrome (5.0%). All patients were followed up for 3 m after discharged from hospital and there were no myocardial ischemia events found.Conclusion With sufficient preoperative preparation, review and management, CABG will get good results in aged patients over 80.
Keywords：Coronary artery bypass graftingAged patientsCoronary heart disease
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 724-726,732 )