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Old 01-03-2004, 12:38 AM   #1
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boltnut55 HB User
Coronary Bypass for 90 Year Old?

Hi. My father is almost 90 and two weeks ago was diagnosed w/CHF when he ended up in the ER w/breathing problems. Several days later, he was released (W/O proper meds, which we took care of the next day), but yesterday morning, he ended up in the ER again. This time, the drs. found out he had a small heart attack. Drs. did an angiogram today and found that all three arteries were damaged/clogged (not sure of term). When I asked how much, one dr. said all were 65-90% bad. They didn't do an angioplasty but would have the heart surgeon/team evaluate him over the weekend (he's in a teaching hospital).

Besides cataract/glaucoma and hearing problems, he does have high blood pressure ("normally" 170'ish) and high cholesterol (no idea of numbers). Other than that, he is able to live alone, cook, clean, and bathe... well, until this whole CHF episode, of course.

Is 90 too old to have bypass surgery? I guess I'm trying to figure out if it's automatically a bad idea or whether there should be consideration to his current quality of life, etc. My normal way of handling these situation is to tell him the positive and negative and say, "Dad, you need to decide!" When I explained the angiogram to him, I did tell him there's a chance that they can't do the angioplasty and he might have to have bypass surgery. He said he would agree to the bypass surgery too, but when the drs. told me about the three clogged arteries, one mentioned that the surgical team would still have to evaluate him to see if he's a candidate (as in just cuz dad's willing doesn't mean it'll get done).

If he doesn't get it done, they would do the angioplasty as a backup way and hope it'll take care of the problem. My dad has said that he doesn't need to live to 100. If he can get a few more good years, he'll be happy (always the optimist... not sure why he got me as a pessimistic child!).

Any comments? Answers? HELP!

 
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Old 01-03-2004, 06:41 AM   #2
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zip2play HB User
Re: Coronary Bypass for 90 Year Old?

boltnut,

What I would do in his position. I'd have the angioplasty with stent if possible on one, two or three of the arteries...but if one or more couldn't be ballooned, I'd leave it alone and opt for drugs like channel blockers or beta blockade.
Age 90 is TOO OLD to have a chest cracked open and heart lung-machine torment and long intensive care. I think the bypasses would shorten his life-span.

I honestly think the surgical team wouldn't (or shouldn't) even consider the bypass procedure....odds are too high he'd never make it off the table!

Last edited by zip2play; 01-03-2004 at 06:44 AM.

 
Old 01-04-2004, 01:19 AM   #3
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boltnut55 HB User
Coronary Bypass for 90 Year Old - More Info

Thanks. It turns out that 6 arteries are blocked, all between 60% - 90% blocked. The surgical team is going to look at him by Monday and determine if he is a candidate. If not, they will do the angioplasty wherever they can.

The doctor (well, intern anyway) said that his age is not necessarily an eliminating factor (yikes!) because he's a strong, sturdy patient (my dad speaks loudly, so he comes across that way, along w/being opinionated!), but we'll know more by Monday, I guess.

Love to hear other comments as well.

Rose

 
Old 01-06-2004, 09:16 PM   #4
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Belle2003 HB User
Re: Coronary Bypass for 90 Year Old?

I have heard of elderly people having a bypass done and they end up not making it through the operation. It was like the doctor just wanted to make some money from the surgery knowing that the odds were not good that the patient would survive. Plus the elderly take longer to heal and recover. It is harder for them to fight off infection too.

If the doctor gives your father a choice between the operation and the angiplasty, I would go for the angiplasty. Plus I would ask what the survival rate is on both procedures for a man of his age. Then I would ask how long would the angiplasty last.

My brother in law's father went in for a heart bypass and never woke up. He was only 79.

Ask what your father's options are, including medication options.

 
Old 01-09-2004, 08:58 PM   #5
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crabbycdn HB User
Re: Coronary Bypass for 90 Year Old?

Surgery of any kind presents risks to elderly patients. This is a very invasive procedure with major risks. Your father must have gold-plated health insurance!

Last edited by crabbycdn; 01-09-2004 at 08:59 PM.

 
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