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Coronary artery bypass surgery in elderly people

Abstract

An increasing number of elderly individuals are now undergoing coronary artery bypass surgery. Elderly patients, compared with patients of a younger age group, present for surgery with a greater burden of risk factors and reduced functional levels. Short-term outcomes are hence poorer in them. But symptom relief occurs in most survivors and is accompanied by excellent rates of long-term survival and a good quality of life. Therefore, an individualised risk–benefit profile must be carefully constructed by clinicians, taking into account several different factors and not just age alone. This review summarises the current concepts of coronary artery bypass surgery from the perspective of the very old.

  • CABG, coronary artery bypass grafting
  • LAD, left anterior descending
  • LMS, left main stem
  • LVEF, left ventricular ejection fraction
  • OPCAB, off-pump coronary artery bypass surgery
  • SIRS, systemic inflammatory response syndrome

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