Abstract:
The results of on-pump coronary artery
bypass graft (CABG) surgery in 166 highrisk
elderly patients (EuroSCORE 6 or more;
over age 65 years [mean 71.8 years]) were
compared with 176 low-risk elderly patients
(EuroSCORE below 6; over age 65 years
[mean 68.8 years]). There was no significant
difference in hospital mortality or number
of grafts between the two groups. Rates of
inotropic agent use, intra-aortic balloon
pump insertion and atrial fibrillation, and
the duration of intensive care unit and
hospital stay were significantly higher in
high-risk than low-risk patients. There were
no significant differences in the incidence of
major complications between the two
groups. The results suggest that, in selected
patients, on-pump CABG can be safely
performed in high-risk patients over 65
years old with no effect on mortality.
