RESULTS OF CORONARY ARTERY BYPASS GRAFT SURGERY IN 75 YEARS AND OLDER PATIENTS IN HANOI HEART HOSPITAL
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Abstract
In the period of 2019-2020, 63 patients from 75 years old underwent coronary bypass grafting (CABG) surgery in Hanoi Heart Hospital. Mean age 78,13 ± 3,42 years (oldest patient was 88 years). 73,1% of case was male. Mean Euroscore II was 6,36%. 38,1% of patients had severe angina, 20,6% had low EF% (<40%). Mean number of grafts was 3,38, and mean arterial graft was 1,41. Early mortality rate was 4,7%. Mean follow-up time was 15,78 ± 6,22 months (6-29). Mortality and cardiovascular events rate in follow-up time were 5% and 6,7%.
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References
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2. Li Z, Amsterdam EA, Yeo KK, et al. Coronary artery bypass operations for elderly patients in California, 2003 to 2008. Ann Thorac Surg. 2012;93(4):1167-1172.
3. Diegeler A, Borgermann J, Kappert U, et al. Off-pump versus on-pump coronary-artery bypass grafting in elderly patients. N Engl J Med. 2013;368(13):1189-1198.
4. Christenson JT, Schmuziger M, Maurice J, Simonet F, Velebit V. How safe is coronary bypass surgery in the elderly patient? Analysis of 111 patients aged 75 years or more and 2939 patients younger than 75 years undergoing coronary artery bypass grafting in a private hospital. Coron Artery Dis. 1994;5(2):169-174.
5. Anderson M, Parke R, Jull A. Effect of Cardiac Surgery on Health-Related Quality of Life in Patients Aged 75 Years or Older: A Prospective Study. Heart Lung Circ. 2021;30(2):282-287.
6. Văn Hùng Dũng, Nguyễn Văn Phan, Phan Kim Phương. Phẫu thuật bắc cầu động mạch vành cho người già trên 70 tuổi. Phẫu thuật tim mạch và lồng ngực việt nam. 2018;20:129-135.
7. Maruyama Y. Aging and arterial-cardiac interactions in the elderly. Int J Cardiol. 2012;155(1):14-19.
8. Al-Alao BS, Parissis H, McGovern E, Tolan M, Young VK. Propensity analysis of outcome in coronary artery bypass graft surgery patients >75 years old. Gen Thorac Cardiovasc Surg. 2012;60(4):217-224.
9. Gimbel ME, Willemsen LM, Daggelders MC, et al. Long-term follow-up after bypass surgery or coronary stenting in elderly with multivessel disease. Neth Heart J. 2020;28(9):467-477.
10.Gjeilo KH, Wahba A, Klepstad P, Lydersen S, Stenseth R. Survival and quality of life in an elderly cardiac surgery population: 5-year follow-up. Eur J Cardiothorac Surg. 2013;44(3):e182-188.