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Cardiac surgery in octogenarians and beyond

John MP Alvarez
Med J Aust 2004; 181 (4): . || doi: 10.5694/j.1326-5377.2004.tb06231.x
Published online: 16 August 2004

Should we do it, is it worthwhile, and who should decide?


  • Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Perth, WA


Correspondence: 

  • 1. Iskandrian AS, Segal BL. Should cardiac surgery be performed in octogenarians? J Am Coll Cardiol 1991; 18: 36-37.
  • 2. Hewitt TD, Santa Maria PL, Alvarez JM. Cardiac surgery in Australian octogenarians: 1996-2001. ANZ J Surg 2003; 73: 749-754.
  • 3. Bridges CR, Edwards FH, Peterson ED, et al. Cardiac surgery in nonagenarians and centenarians. J Am Coll Surg 2003; 197: 347-357.
  • 4. Australasian Society of Cardiac and Thoracic Surgeons. Victorian Cardiac Surgery Database Project. Annual report 2002–2003. Melbourne: ASCATS, 2004.
  • 5. Bramstedt KA. Aortic valve replacement in the elderly: frequently indicated yet frequently denied. Gerontology 2003; 49: 46-49.
  • 6. Bramstedt KA. Scientific breakthroughs: cause or cure of the aging “problem”. Gerontology 2001; 47: 52-54.
  • 7. Ragosta M. Percutaneous coronary intervention in octogenarians and the safety of glycoprotein IIb/IIIa inhibitors. J Am Coll Cardiol 2003; 42: 433-436.
  • 8. Wilson RM, Harrison BT, Gibberd RW, Hamilton JD. An analysis of the causes of adverse events from the Quality in Australian Health Care Study. Med J Aust 1999; 170: 411-415. <MJA full text>
  • 9. Rose EA. Off pump coronary artery bypass surgery. N Engl J Med 2003; 348: 379-380.
  • 10. Alvarez JM, Chatwin C, Fahrer C. Prophylactic intravenous mannitol and normal saline in patients with poor renal function prior to cardiac surgery: time for a multicentre trial? Heart, Lung and Circulation 2000; 9: 74-77.
  • 11. Batchelor WB, Anstrom KJ, Muhlbair LH, et al. Contemporary outcome trends in the elderly undergoing percutaneous interventions: results in 7472 octogenarians. J Am Coll Cardiol 2000; 36: 723-730.
  • 12. Sader M, Miller LA, Caine D, et al. Neuropsychological and psychiatric outcomes following coronary surgery or angioplasty: a comparative study. Heart, Lung and Circulation 2002; 11: 95-101.
  • 13. O’Neill WW, Grimes CL. Surgery or stent? The gap continues to narrow. Lancet 2002; 360: 961-962.
  • 14. De Gregorio J, Kobayashi Y, Albiero R, et al. Coronary artery stenting in the elderly: short-term outcome and long-term angiographic and clinical follow-up. J Am Coll Cardiol 1998; 32: 577-583.

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