Document Detail


Surgical management of aortic valve disease in the elderly: a longitudinal analysis.
MedLine Citation:
PMID:  3415375     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From November, 1972, through December, 1986, 219 consecutive patients 70 years of age and older with aortic stenosis (AS) underwent aortic valve replacement. One hundred seven of them had isolated pure AS, and 112 had AS and coronary artery disease (AS + CAD). The mean age of the AS group was 75.4 years (range, 70 to 88 years) and of the AS + CAD group, 74.8 years (range, 70 to 86 years). The mean aortic valve gradient in the AS group was 87.7 +/- 30.6 mm Hg and in the AS + CAD group, 68.0 +/- 51.3 mm Hg (p less than 0.001). Hospital mortality for the AS group was 12.1% (13 patients) and for the AS + CAD group, 8.9% (10 patients). The long-term survival at seven years was 77.2 +/- 5.5% (+/- the standard error of the mean) for the AS group and 57.0 +/- 6.9% for the AS + CAD group (p less than 0.006). Postoperative assessment reveals substantial functional improvement. These early and long-term favorable results provide a much needed reference point when valvuloplasty is being considered. Aortic valve replacement is the treatment of choice in elderly patients with symptomatic AS.
Authors:
L N Bessone; D F Pupello; S P Hiro; E Lopez-Cuenca; M S Glatterer; G Ebra
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  46     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1988 Sep 
Date Detail:
Created Date:  1988-09-29     Completed Date:  1988-09-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  264-9     Citation Subset:  AIM; IM    
Affiliation:
Cardiac Surgical Unit, St. Joseph's Heart Institute, Tampa, FL.
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MeSH Terms
Descriptor/Qualifier:
Actuarial Analysis
Aged
Aged, 80 and over
Aortic Valve
Aortic Valve Stenosis / complications,  mortality,  surgery*
Bioprosthesis*
Coronary Disease / complications,  mortality,  surgery*
Female
Follow-Up Studies
Heart Valve Prosthesis* / mortality
Humans
Male
Methods
Postoperative Complications / etiology
Prognosis
Retrospective Studies

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


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