Avtor/Urednik		Geršak, Borut; Šoštarič, Maja; Trunk, Primož
Naslov		Srčna kirurgija pri starostniku
Prevedeni naslov		Cardiac surgery in the elderly
Tip		članek
Vir		Slov Kardiol
Vol. in št.		Letnik 2, št. 1
Leto izdaje		2005
Obseg		str. 46-9
Jezik		slo
Abstrakt		In cardiac surgery we treat patients with a wide range of age and every year higher and higher percentage of old patients needs an operation. Age is one of the most important, from the disease independent predictors of surgical outcome and postoperative mortality and morbidity. Besides that age influences on surgical technique, used materials and type of anesthesia. On our department for cardiovascular surgery 5323 adult patients were operated from 1996 to February 2005. 121 patients were 80 years or older. Among elderly, 36 patients needed a bypass operation, 42 a valve procedure, 30 had a combined operation, 8 implanted pacemaker an in 5 patients we performed other procedure. In this report we present our own group of octogenarian patients and compare some of its properties with other published data. Results are comparable to those from other centers and we conclude that in our conditions it is reasonable to continue with our current practice.
Izvleček		V kirurgiji srca in ožilja zdravimo ljudi v širokem starostnem razponu in s staranjem populacije se iz leta v leto veča tudi odstotek starejših ljudi, ki potrebujejo srčno operacijo. Starost je eden izmed zelo pomembnih, od bolezni neodvisnih dejavnikov tveganja za pooperativno umrljivost in obolevnost, poleg tega pa odloča tudi o vrsti operativne tehnike, uporabljenih materialih in prilagojeni tehniki anestezije. Na kliničnem oddelku za kirurgijo srca in ožilja smo v obdobju od leta 1996 do februarja 2005 operirali skupno 5323 odraslih bolnikov, od tega 121 bolnikov starih 80 let in več. Med starostniki jih je 36 bolnikov imelo premostitveno operacijo, 42 bolnikov operacijo zaklopk, 30 bolnikov kombiniran poseg, 8 bolnikom smo vstavili samo srčni spodbujevalnik, pri 5 pa smo opravili druge manjše posege. V tem prispevku predstavljamo lastne rezultate te serije bolnikov ter nekatere značilnosti primerjamo z objavljenimi podatki v literaturi. Rezultati so primerljivi s tistimi iz drugih centrov, tako da menimo, da je tudi v naših razmerah smiselno nadaljevati z ustaljeno prakso.
Deskriptorji		HEART DISEASES CORONARY ARTERY BYPASS HEART VALVE DISEASES AGED