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European Heart Journal 1992 13(4):508-510;
Copyright © 1992 by the European Society of Cardiology.
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© 1992 The European Society of Cardiology

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

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

University Hospital Zurich Switzerland
*Clinic for Cardiovascular Surgery and Department of Medicine

Received 23 April 1991; revised 28 August 1991; .

Correspondence Dr Miralem Pasic. Clinic for Cardiosascular Surgery. University Hospital Zurich, Raemistr. 100. CH-8091 Zurich, Switzerland

Abstract

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.

Key Words: Octogenarian • aortic stenosis • aged • valvular surgery • value replacement


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