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Valve replacement in octogenarians: increased early mortality but good long-term result

PASIC, M. ; CARREL, T. ; LASKE, A. ; BAUER, E. ; TURINA, J. ; JENNI, R. ; VON SEGESSER, L. ; TURINA, M.

In: European Heart Journal, 1992, vol. 13, no. 4, p. 508-510

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    Titre
    • Valve replacement in octogenarians: increased early mortality but good long-term result
    Auteur
    • PASIC, M.. University Hospital Zurich, Switzerland
    • CARREL, T.. University Hospital Zurich, Switzerland
    • LASKE, A.. University Hospital Zurich, Switzerland
    • BAUER, E.. University Hospital Zurich, Switzerland
    • TURINA, J.. Clinic for Cardiovascular Surgery and Department of Medicine
    • JENNI, R.. Clinic for Cardiovascular Surgery and Department of Medicine
    • VON SEGESSER, L.. University Hospital Zurich, Switzerland
    • TURINA, M.. University Hospital Zurich, Switzerland
    Type de document
    • Postprint
    Identifiant OAI-PMH
    • oai:doc.rero.ch:304015
    Summary
    Between January 1983 and December 1990, 20 patients aged 80 years or older underwent valvular surgery. The patients' ages varied from 80 to 87 years (mean, 82 ± 1.5 years). The indication for operation was aortic stenosis in 19 patients, and mitral insufficiency after previous mitral valve replacement with a bioprosthesis in one. There were 15 elective, two urgent, and three emergency operations. Four of these patients had aortic valve replacement plus coronary artery bypass grafting. Six patients (30%) had an uneventful hospital stay, and the other 14 (70%) experienced several post-operative complications. The operative mortality rate was 15± (three patients). All patients before operation were in NYHA (New York Heart Association) class III and IV and all survivors remained in NYHA class I or II. The survivors have been followed from 6 to 70 months (mean 20 ± 8 months). The actuarial survival rate at 1 and 5 years was 78.5% and 67%, respectively. Valvular replacement in octogenarians can be performed, despite the high rate of post-operative complications, with increased but acceptable mortality. Long-term results are good