Elderly patients with heart disease are generally able to undergo arterial occlusion surgery, but it is important to assess the risks and make good preoperative preparations before surgery. The occurrence of coronary heart disease in elderly patients is not a contraindication to surgery, patients with severe coronary heart disease can also undergo surgical treatment, such as implantation of stents or coronary artery bypass grafting treatment. Before surgery, we should adequately assess the condition of the disease, understand the patient’s cardiac function, and make a good surgical plan, in order to improve the success rate of surgery. The risk of cardiac surgery for elderly patients is higher than that of the general population, and they are prone to various complications after the surgery. Some patients need to take oral antiplatelet drugs, such as aspirin, and various risks should be evaluated before and after the surgery, and treated in advance if necessary to reduce the risk of accidents. Elderly patients with heart disease should consult the hospital in time, and choose the appropriate treatment plan under the guidance of experienced physicians to reduce the risk of complications.