{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:11:46Z","timestamp":1760955106660},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T00:00:00Z","timestamp":1233705600000},"content-version":"vor","delay-in-days":6884,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[1990,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The risk\u2010benefit relationship of open heart surgery in octogenarians is not well established. Eighty consecutive patients over the age of 80 who underwent cardiac operations under cardiopulmonary bypass were evaluated. Twenty\u2010five patients were in functional class IV, 42 in class III, and 13 in class II. Forty\u2010four patients had only coronary artery bypass grafts (CABG), 12 only aortic valve replacement (AVR), 6 only mitral valve replacement (MVR), 12 CABG and AVR, 4 CABG and MVR, 1 CABG and aneurysmectomy, and 1 had resection of left atrial myxoma. Operative mortality (within 30 days) was 12.5% for the group. Mortality was related to bleeding, left ventricular failure, primary ventricular fibrillation, pulmonary failure, and renal failure. Mortality was higher in patients with (1) advanced functional class, (2) mitral valve replacement, (3) postoperative hemorrhage, and (4) associated pulmonary disease. While a generally conservative approach is recommended for octogenarian patients, many with life\u2010threatening cardiac disease, especially those free of major multisystem illnesses, should not be denied the benefit of surgical treatment.<\/jats:p>","DOI":"10.1002\/clc.4960130407","type":"journal-article","created":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T21:52:59Z","timestamp":1233784379000},"page":"267-270","source":"Crossref","is-referenced-by-count":29,"title":["Cardiac surgery in patients over the age of 80 years"],"prefix":"10.1002","volume":"13","author":[{"given":"T. T.","family":"Bashour","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. S.","family":"Hanna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. K.","family":"Myler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. T.","family":"Mason","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Ryan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Feeney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Iskikian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. H.","family":"Wald","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Antonini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. L.","family":"Malabed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,2,4]]},"reference":[{"key":"e_1_2_1_1_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.67.3.483"},{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1983.01390040014003"},{"key":"e_1_2_1_3_2","first-page":"190","article-title":"Long\u2010term (5 years) results of coronary bypass surgery in patients 65 years or older: A report from the Coronary Artery Surgery Study","volume":"68","author":"Gersh BJ","year":"1983","journal-title":"Circulation"},{"key":"e_1_2_1_4_2","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/S0022-5223(19)39952-0","article-title":"Coronary artery bypass surgery in patients seventy years of age and older","volume":"73","author":"Gann D","year":"1977","journal-title":"J Thorac Cardiovasc Surg"},{"key":"e_1_2_1_5_2","first-page":"179","article-title":"Myocardial revascularization in patients 70 years of age and older","volume":"126","author":"Tucker BL","year":"1977","journal-title":"Western J Med"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.58.2.250"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(81)90195-8"},{"key":"e_1_2_1_8_2","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/S0022-5223(19)39036-1","article-title":"Isolated coronary artery bypass grafting in patients seventy years of age and older. Early and late results","volume":"84","author":"Hochberg MS","year":"1982","journal-title":"J Thorac Cardiovasc Surg"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(84)80277-6"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)64185-9"},{"issue":"2","key":"e_1_2_1_11_2","first-page":"535","article-title":"Cardiac surgery in the octogenarian (abstr)","volume":"5","author":"Tsai TP","year":"1985","journal-title":"J Am Coll Cardiol"},{"key":"e_1_2_1_12_2","first-page":"348","article-title":"Risk of combined coronary artery bypass and mitral valve replacement","volume":"11","author":"Kabbani SS","year":"1984","journal-title":"Texas Heart Inst J"},{"key":"e_1_2_1_13_2","first-page":"482","article-title":"Determinants of operative survival following combined mitral valve replacement and coronary revascularization","volume":"34","author":"Disesa VJ","year":"1982","journal-title":"Ann Thorac Cardiovasc Surg"},{"issue":"2","key":"e_1_2_1_14_2","first-page":"483","article-title":"Enhanced survival for elderly patients following coronary bypass surgery (abstr)","volume":"5","author":"Starr A","year":"1985","journal-title":"J Am Coll Cardiol"},{"issue":"3","key":"e_1_2_1_15_2","first-page":"16","article-title":"Changes in life expectancy since 1900","volume":"31","author":"Feinleib M","year":"1975","journal-title":"Circulation"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(81)90195-8"}],"container-title":["Clinical Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fclc.4960130407","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.4960130407","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,22]],"date-time":"2023-10-22T14:33:42Z","timestamp":1697985222000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/clc.4960130407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,4]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1990,4]]}},"alternative-id":["10.1002\/clc.4960130407"],"URL":"https:\/\/doi.org\/10.1002\/clc.4960130407","archive":["Portico"],"relation":{},"ISSN":["0160-9289","1932-8737"],"issn-type":[{"value":"0160-9289","type":"print"},{"value":"1932-8737","type":"electronic"}],"subject":[],"published":{"date-parts":[[1990,4]]}}}