| One-hundred aortic valve replacements in octogenarians: outcomes and risk factors for early mortality. | |
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MedLine Citation:
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PMID: 17484461 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND AIM OF THE STUDY: Today, ageing of the western population is causing aortic valve surgery to be performed in elderly patients with increasing frequency. The study aim was to evaluate surgical outcome in octogenarian patients undergoing aortic valve replacement (AVR). METHODS: A total of 100 patients (mean age 82.1 +/- 2.7 years; range: 80-95 years) who underwent AVR over a three-year period was reviewed. Concomitant coronary artery bypass grafting was performed in 34% of cases, and a bioprosthesis was implanted in 80%. The mean logistic EuroSCORE was 13.3%. RESULTS: Operative mortality was 8.0%. In multivariate analysis, a logistic EuroSCORE > or =13.5% (p = 0.02), cross-clamp time > or =75 min (p = 0.02) and postoperative acute renal failure were predictors for in-hospital mortality. Follow up was 100% complete; the mean follow up period was 10.6 months. At one year after surgery, the actuarial survival rate of those patients who survived surgery was 86.1%. Postoperative dyspnea at one month (p = 0.004) was the only predictor of short-term mortality. CONCLUSION: Age in itself should not contraindicate surgery, and healthcare systems should be prepared to accommodate elderly patients who may require special resources. |
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Authors:
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Stefano Urso; Rafael Sadaba; Ernesto Greco; Ivana Pulitani; Luis Alvarez; Arantxa Juaristi; Juan J Goiti |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of heart valve disease Volume: 16 ISSN: 0966-8519 ISO Abbreviation: J. Heart Valve Dis. Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-05-08 Completed Date: 2007-07-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9312096 Medline TA: J Heart Valve Dis Country: England |
Other Details:
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Languages: eng Pagination: 139-44 Citation Subset: IM |
Affiliation:
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Policlinica Gipuzkoa, Cirugía Cardiaca, San Sebastian, Spain. stefano_urso@inwind.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Analysis of Variance Aortic Valve Insufficiency / epidemiology, mortality*, surgery* Aortic Valve Stenosis / epidemiology, mortality*, surgery* Bioprosthesis / adverse effects Female Follow-Up Studies Heart Valve Prosthesis / adverse effects Heart Valve Prosthesis Implantation* / instrumentation Hospital Mortality Humans Logistic Models Male Predictive Value of Tests Prosthesis Design Research Design Risk Factors Spain / epidemiology Survival Analysis Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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