Tag Archives: ageing

It is, therefore, with interest that we read the meta-analysis of long-term survival of individuals born with CHD by Best and Rankin.4 Utilising population-based studies, they report a pooled one-year, five-year and 10-year survival for all CHD of 87%, 85.4% and 81.4%, respectively. The survival estimates for individual CHD lesions differed, with ‘high-risk lesions’, such as tricuspid atresia or common arterial trunk, having a poorer survival than ‘simple lesions’, such as atrial septal defect (ASD) or ventricular septal defect (VSD), confirming what is seen in clinical practice. There were some surprising findings, including a worse

Choice of surgery The mainstay of cardiac surgery is CABG, which is performed for both symptomatic and prognostic reasons. In elderly asymptomatic patients, the prognostic value of the operation has to be thought through carefully and in the context of the patient’s general health and lifestyle. The overall risk following CABG in patients older than 80 years is approximately 8%.2 Recently, there has been an increase in the number of elderly patients referred for cardiac surgery. One of the reasons is the emergence of minimally invasive techniques like transcatheter aortic valve implantation (TAVI) and off-pump CABG (beating heart). It was

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