PMID- 1925475 OWN - NLM STAT- MEDLINE DCOM- 19911121 LR - 20061115 IS - 0036-7672 (Print) IS - 0036-7672 (Linking) VI - 121 IP - 40 DP - 1991 Oct 5 TI - [Aortocoronary bypass surgery in patients older than 70 years]. PG - 1439-44 AB - 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. FAU - Pasic, M AU - Pasic M AD - Klinik fur Herzgefasschirurgie, Universitatsspital Zurich. FAU - Laske, A AU - Laske A FAU - Carrel, T AU - Carrel T FAU - Bauer, E AU - Bauer E FAU - Turina, J AU - Turina J FAU - von Segesser, L AU - von Segesser L FAU - Turina, M AU - Turina M LA - ger PT - English Abstract PT - Journal Article TT - Aortokoronare Bypasschirurgie bei uber 70jahrigen Patienten. PL - Switzerland TA - Schweiz Med Wochenschr JT - Schweizerische medizinische Wochenschrift JID - 0404401 SB - IM MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Coronary Artery Bypass/mortality/*statistics & numerical data MH - Female MH - Heart Valve Prosthesis MH - Humans MH - Male MH - Postoperative Complications/etiology MH - Reoperation MH - Risk Factors MH - Survival Analysis EDAT- 1991/10/05 00:00 MHDA- 1991/10/05 00:01 CRDT- 1991/10/05 00:00 PHST- 1991/10/05 00:00 [pubmed] PHST- 1991/10/05 00:01 [medline] PHST- 1991/10/05 00:00 [entrez] PST - ppublish SO - Schweiz Med Wochenschr. 1991 Oct 5;121(40):1439-44.