Skip to main content

Coronary artery bypass grafting and use of the LIMA in octogenarians

  • Chapter
  • 52 Accesses

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 161))

Abstract

Improved medical care over the past few decades has increased life expectancy and, consequently, the number of aged persons in the general population has risen. For patients with coronary artery disease with ongoing ischemia despite maximal medical therapy, coronary artery bypass grafting (CABG) is still the only viable option. Recent reports [1-5] indicate that this intervention for select elderly individuals, who otherwise are in good physical and mental health, has substantially improved quality of life and led to decreased mortality and morbidity. We reviewed our results in a group of 52 consecutive octogenarian patients who underwent CABG or combined CABG and valve replacement in our institution. Among other variables analyzed in this study, special emphasis was given to the consequences of using the Lt. internal mammary artery (LIMA) as an arterial conduit for revascularization.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ko W, Krieger KH, Lazenby WD, et al. Isolated coronary artery bypass grafting in one hundred consecutive octogenarian patients. J Thorac Cardiovasc Surg 1991; 102: 532–8.

    PubMed  CAS  Google Scholar 

  2. Tsai T-P, Nessim S, Kass RM, et al. Morbidity and mortality after coronary artery bypass in octogenarians. Ann Thorac Surg 1991; 51: 983–6.

    Article  PubMed  CAS  Google Scholar 

  3. Horvath KA, DiSesa VJ, Peigh PS, et al. Favorable results of coronary artery bypass grafting in patients older than 75 years. J Thorac Cardiovasc Surg 1990; 99: 92–6.

    PubMed  CAS  Google Scholar 

  4. Weintraub WS, Craver JM, Cohen CL, Jones EL, and Guyton RA. Influence of age on results of coronary artery surgery. Circulation 1991: 84(5 suppl II): 1226–35.

    Google Scholar 

  5. Glower DD, Christopher TD, Milano CA, et al. Performance status and outcome after coronary artery bypass grafting in persons aged 80 to 93 years. Am J Cardiol 1992; 70(6): 567–71.

    Article  PubMed  CAS  Google Scholar 

  6. Knapp WS, Douglas JS, Craver JM, et al. Efficacy of coronary artery bypass grafting in elderly patients with coronary artery disease. Am J Cardiol 1981; 47: 923–30.

    Article  PubMed  CAS  Google Scholar 

  7. Berry BE, Acree PW, Davis DL, Sheely CH, Cavin S. Coronary artery bypass operation in septuagenarians. Ann Thorac Surg 1981; 31: 310–3.

    Article  PubMed  CAS  Google Scholar 

  8. Stephenson LW, MacVaugh H, Edmunds LH. Surgery using cardiopulmonary bypass in the elderly. Circulation 1978; 58: 250–4.

    Article  PubMed  CAS  Google Scholar 

  9. Rich MW, Sandza JG, Kleiger RE, Connors JP. Cardiac operations in patients over 80 years of age. J Thorac Cardiovasc Surg 1985; 90: 56–60.

    PubMed  CAS  Google Scholar 

  10. Edmunds LH Jr, Stephenson LW, Edie RN, Ratcliffe MB. Open-heart surgery in octogenarians. N Engl J Med 1988; 319: 131–6.

    Article  PubMed  Google Scholar 

  11. Tsai T-P, Matloff JM, Gray RJ, et al. Cardiac surgery in the octogenarian. J Thorac Cardiovasc Surg 1986; 91: 924–8.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Sahar, G., Raanani, E., Hertz, I., Brauner, R., Vidne, B.A. (1995). Coronary artery bypass grafting and use of the LIMA in octogenarians. In: Walter, P.J. (eds) Coronary Bypass Surgery in the Elderly. Developments in Cardiovascular Medicine, vol 161. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-0209-4_6

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-0209-4_6

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4093-8

  • Online ISBN: 978-94-011-0209-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics