PMID- 8133815 OWN - NLM STAT- MEDLINE DCOM- 19940419 LR - 20041117 IS - 0025-729X (Print) IS - 0025-729X (Linking) VI - 160 IP - 6 DP - 1994 Mar 21 TI - Cardiac surgery in the very elderly. PG - 332-4 AB - OBJECTIVE: To determine the results of cardiac surgery in the very elderly. DESIGN AND SUBJECTS: A retrospective study of 56 very elderly patients (mean age 82 years, range 79-89 years) undergoing open heart surgery between 1988 and 1991. Thirty-three patients had coronary artery bypass grafting, 12 had valve replacement alone and 11 had valve replacement with an associated procedure. SETTING: St Francis Xavier Cabrini Hospital, Melbourne--a large private hospital. RESULTS: There were four in-hospital deaths (7%). The one-year actuarial survival rate was 88%. Of the 49 survivors, 92% were in New York Heart Association (NYHA) Class III or IV before operation, whereas 96% were in NYHA Class I or II a mean of 15 months after operation. CONCLUSION: In very elderly patients with medically refractory cardiac symptoms, cardiac surgery has a tolerable mortality and provides excellent relief of symptoms. FAU - Shah, V Z AU - Shah VZ AD - Saint Francis Xavier Cabrini Hospital, Malvern, Vic. FAU - Rosenfeldt, F L AU - Rosenfeldt FL FAU - Parkin, G W AU - Parkin GW FAU - Ugoni, A M AU - Ugoni AM FAU - Habersberger, P G AU - Habersberger PG FAU - Cooper, E AU - Cooper E LA - eng PT - Journal Article PL - Australia TA - Med J Aust JT - The Medical journal of Australia JID - 0400714 SB - IM MH - Aged MH - *Aged, 80 and over MH - *Cardiac Surgical Procedures/mortality/rehabilitation MH - Female MH - Follow-Up Studies MH - Heart Diseases/rehabilitation/surgery MH - Humans MH - Male MH - Postoperative Complications MH - Retrospective Studies MH - Victoria EDAT- 1994/03/21 00:00 MHDA- 1994/03/21 00:01 CRDT- 1994/03/21 00:00 PHST- 1994/03/21 00:00 [pubmed] PHST- 1994/03/21 00:01 [medline] PHST- 1994/03/21 00:00 [entrez] PST - ppublish SO - Med J Aust. 1994 Mar 21;160(6):332-4.