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Editorials |

Coronary Artery Bypass Grafting in the Elderly : The Challenge and the Opportunity

Anthony P. C. Yim, DM, FCCP; Ahmed A Arifi, MD; Song Wan, MD, PhD
Author and Funding Information

Affiliations: Hong Kong, China 
 ,  Dr. Yim is Chief of Cardiothoracic Surgery and Drs. Arifi and Wan are cardiac surgeons in the Division of Cardiothoracic Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China.

Correspondence to: Anthony P.C. Yim, MD, FCCP, Chief, Division of Cardiothoracic, Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China; e-mail: yimap@cuhk.edu.hk



Chest. 2000;117(5):1220-1221. doi:10.1378/chest.117.5.1220
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Nowadays, people, especially women in industrialized societies, can aspire to a life expectancy such as the Biblical“ three score years and ten” (70 years) and beyond. As a result of this lengthening in life expectancy, coronary artery bypass grafting (CABG) has become an increasingly common operation in the elderly population. Similar to previous reports from Europe and North America, in this issue of CHEST (see page 1262) Hirose and colleagues retrospectively compared CABG in young patients vs elderly patients (ie, people > 75 years of age) over an 8-year period from a single institution in Japan, a country with one of the longest life expectancies. The authors showed that the mortality and morbidity for CABG were both higher in the elderly group. However, they also observed that it was the coexisting morbidity (eg, cardiac or renal failure) rather than the advanced age per se that was responsible for early and late deaths. There was no difference in the cardiac event-free survival rates between the two groups.

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