Document Detail

Aortic valve replacement in octogenarians.
MedLine Citation:
PMID:  1341627     Owner:  NLM     Status:  MEDLINE    
In a consecutive series of 1109 patients undergoing aortic valve replacement (AVR) between January 1988 and December 1990, there were 48 patients (33 female, 15 male) over 80 years of age (mean age 83.5 years, median 82.9 years). Of those, 33 had aortic stenosis and 15 combined aortic valve disease, with additional coronary artery disease being present in 36. Isolated AVR was performed in 25 patients, and it was combined with coronary venous bypass grafting, with 1-4 (mean 1.8) peripheral anastomoses in 23. Two patients died within 30 days (early mortality 4.2%). Non-fatal complications included one hemiparesis, four transient cerebral disorders, two cases of pneumonia which led to ventilatory assistance, three rethoracotomies because of postoperative bleeding, 15 tachycardias and one transient AV block. Late results were obtained after a median follow up time of 22 months. There were eight late deaths (four cardiac related, four not related) and a low incidence of non-fatal complications (two episodes of gastrointestinal bleeding while on oral anticoagulation, one cerebral transient ischemic attack and one acute left ventricular failure). Nine patients are in NYHA Class I, 12 in Class I-II, 11 in Class II, three in Class II-III and three in Class III. Of the surviving 38 patients, four are currently living in a home for the aged or a nursing home, while all the others are living in their own homes and are able to sustain a relatively independent life-style. We conclude that in very old patients with aortic valve disease, AVR can be performed with low mortality and few non-fatal complications.
G Kleikamp; K Minami; T Breymann; U Samar; J U Lüth; W Reichelt; U Gleichmann; R Körfer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of heart valve disease     Volume:  1     ISSN:  0966-8519     ISO Abbreviation:  J. Heart Valve Dis.     Publication Date:  1992 Nov 
Date Detail:
Created Date:  1994-01-25     Completed Date:  1994-01-25     Revised Date:  2006-05-04    
Medline Journal Info:
Nlm Unique ID:  9312096     Medline TA:  J Heart Valve Dis     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  196-200     Citation Subset:  IM    
Department of Thoracic and Cardiovascular Surgery, Heart Center of Northrhine-Westphalia, Bad Oeynhausen, Germany.
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MeSH Terms
Aged, 80 and over
Aortic Valve / surgery
Aortic Valve Stenosis / complications,  rehabilitation,  surgery
Coronary Artery Bypass
Coronary Disease / complications,  surgery
Follow-Up Studies
Heart Valve Prosthesis* / mortality,  rehabilitation
Postoperative Complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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