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July 1973

Coronary Artery DiseaseSurgery in 100 Patients 65 Years of Age and Older

Author Affiliations

Los Angeles
From the Department of Surgery, Hospital of the Good Samaritan Medical Center, Los Angeles.

Arch Surg. 1973;107(1):30-33. doi:10.1001/archsurg.1973.01350190022006

One hundred patients aged 65 years and older underwent operation for coronary artery disease, its complications, or both. Seventy-eight patients had saphenous vein bypass grafts only. The remainder included segmentectomies, aneurysmectomies, or valve replacement combined with grafts, or aneurysmectomies alone. Significant complications were rare; severe arrhythmias and low cardiac output were the most frequent serious complications and occurred in nine patients. A total of 178 bypass grafts were performed on 89 patients. There were six early deaths and four late deaths for a total overall mortality of 10%. All deaths were in patients with end-stage coronary artery disease and, with one exception, death was due to this advanced disease.

Follow-up in 83 patients revealed a significant improvement in 77 patients (93%). Advanced age alone is not a contraindication to surgery for coronary artery disease.