{"id":5334,"date":"2025-12-12T14:13:10","date_gmt":"2025-12-12T12:13:10","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5334"},"modified":"2026-05-05T14:39:25","modified_gmt":"2026-05-05T12:39:25","slug":"cvja-2025-057","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2025-057\/","title":{"rendered":"Isolated coronary artery bypass in octogenarians: does gender matter?"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            \r\nZinar Apayd\u0131n, Batuhan Yaz\u0131c\u0131, Mustafa Can Kaplan, Bar\u0131\u015f Timur, Tural Muradl\u0131, Orhan Tarhan, Ersin Kadiro\u011fullar\u0131\r\n<\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                                     \r\n\r\n        <strong>Background:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nCoronary artery bypass grafting (CABG) in octogenarians remains a challenging but increasingly common procedure due to extended life expectancy and the growing burden of coronary artery disease in the elderly. This study aimed to evaluate sex-specific differences in perioperative characteristics and early outcomes in patients aged > 80 years undergoing isolated CABG. <br \/>   \r\n\r\n        <strong>Methods:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nA total of 104 patients aged \u226580 years who underwent isolated CABG between 2017 and 2023 were retrospectively analysed. Patients were stratified by gender, and comparisons were made regarding preoperative comorbidities, intraoperative variables, and postoperative outcomes. The primary endpoint was in-hospital mortality.\r\n<br \/>\r\n                \r\n                <strong>Results:<\/strong>                                                                                                    \r\nThe mean age was 82.01 \u00b1 2.04 years, with 64.4% male and 35.6% female patients. While body surface area was significantly higher in males (p < 0.001), EuroSCORE II was numerically higher in females (p = 0.18). Chronic obstructive pulmonary disease (COPD) and smoking were more prevalent in males (p = 0.039 and p < 0.001, respectively), whereas CABG x5 was more frequent in females (p = 0.043). ICU stay was significantly longer in males (p = 0.014). Overall mortality was low (3.8%) and not significantly different between genders.\r\n<br \/>\r\n                                                                                                                                                                                                                                                                        \r\n                                                                                                                                                \r\n        <strong>Conclusion:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nCABG in patients aged \u226580 years is associated with low early mortality and acceptable complication rates regardless of gender. Preoperative and intraoperative gender- based differences may inform individualised perioperative management strategies in this growing patient population.\r\n<br \/>    \r\n                                                                                                        \r\n\r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong>coronary artery bypass surgery, octogenarians, hospital mortality, frailty<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> April 24, 2025; <!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> May 8, 2025; <!--Month day, year; -->                                                                            \r\n    <strong>Published:<\/strong> December 12, 2025<!--Month day, year; -->                                                                                                                            <br \/>                                                            \r\n        <em>Cardiovasc J Afr 2025; <b>36<\/b>: 423-426<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 36, Issue 4<\/strong> <br \/>                                                                            \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2025-057<!--DOI number-->                                                                \r\n        <\/div>                                                                                                                            \r\n                \r\n                <div id=\"author-affiliation\">                                                                                                \r\n\r\n<strong>Department of Cardiovascular Surgery, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, \u0130stanbul, Turkey\r\n<\/strong>    <br \/>                                                                            \r\nZinar Apayd\u0131n<br \/>\r\nBar\u0131\u015f Timur<br \/>\r\nTural Muradl\u0131<br \/>\r\nErsin Kadiro\u011fullar\u0131\r\n\r\n<br \/><br \/>\r\n\r\n<strong>Department of Cardiovascular Surgery, Hatay Training and Research Hospital, Hatay, Turkey \r\n<\/strong>    <br \/>                                                                            \r\nBatuhan Yaz\u0131c\u0131\r\n\r\n<br \/><br \/>\r\n\r\n<strong>Department of Cardiovascular Surgery, Artvin State Hospital, Artvin, Turkey \r\n<\/strong>    <br \/>                                                                            \r\nMustafa Can Kaplan\r\n\r\n<br \/><br \/>\r\n\r\n<strong>Department of Cardiovascular Surgery, Mardin Training and Research Hospital, Mardin, Turkey \r\n<\/strong>    <br \/>                                                                            \r\nOrhan Tarhan\r\n\r\n<br \/><br \/>\r\n                                                                                                                                                                                                                                        \r\n\r\n                [soshsc hide=\"logged\"]\r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Coronary artery bypass grafting (CABG) in octogenarians remains a challenging but increasingly common procedure due to extended life expectancy and the growing burden of coronary artery disease in the elderly. This study aimed to evaluate sex-specific differences in perioperative characteristics and early outcomes in patients aged > 80 years undergoing isolated CABG.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[44,108],"tags":[],"class_list":["post-5334","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-topics","category-volume-36-issue-4"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Isolated coronary artery bypass in octogenarians: does gender matter? - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"Coronary artery bypass grafting (CABG) in octogenarians remains a challenging but increasingly common procedure due to extended life expectancy and the growing burden of coronary artery disease in the elderly. This study aimed to evaluate sex-specific differences in perioperative characteristics and early outcomes in patients aged &gt; 80 years undergoing isolated CABG.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cvja.co.za\/journal\/cvja-2025-057\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Isolated coronary artery bypass in octogenarians: does gender matter? - Cardiovascular Journal of Africa\" \/>\n<meta property=\"og:description\" content=\"Coronary artery bypass grafting (CABG) in octogenarians remains a challenging but increasingly common procedure due to extended life expectancy and the growing burden of coronary artery disease in the elderly. 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