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Titolo:
Aortic valve replacement with or without concomitant coronary artery bypass grafting in the ninth decade of life
Autore:
Ennker, J; Mortasawi, A; Gehle, S; Yaghmaie, M; Schroder, T; Rosendahl, U; Ennker, IC;
Indirizzi:
Heart Inst Lahr Baden, D-77933 Lahr, Germany Heart Inst Lahr Baden Lahr Germany D-77933 Baden, D-77933 Lahr, Germany
Titolo Testata:
LANGENBECKS ARCHIVES OF SURGERY
fascicolo: 4, volume: 386, anno: 2001,
pagine: 272 - 277
SICI:
1435-2443(200107)386:4<272:AVRWOW>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; AGED 80 YEARS; CARDIAC-SURGERY; ELDERLY PATIENTS; HEART-SURGERY; OCTOGENARIANS; STENOSIS; OLDER; OPERATIONS; SURVIVAL;
Keywords:
aortic valve replacement; mortality; morbidity; survival; ninth decade of life;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
42
Recensione:
Indirizzi per estratti:
Indirizzo: Ennker, J Heart Inst Lahr Baden, D-77933 Lahr, Germany Heart Inst Lahr Baden Lahr Germany D-77933 77933 Lahr, Germany
Citazione:
J. Ennker et al., "Aortic valve replacement with or without concomitant coronary artery bypass grafting in the ninth decade of life", LANG ARCH S, 386(4), 2001, pp. 272-277

Abstract

Due to demographic changes in average life expectancy, the age of patientsundergoing cardiac surgery is increasing. We have reviewed the short- and long-term outcome after aortic valve replacement with or without concomitant coronary artery bypass grafting in patients over 80 years of age. From 1 January 1995 until 30 June 1999, 114 patients (83 women and 31 men, 80-89 years of age, 82.8 +/-2.4 years) with symptomatic aortic valve disease underwent aortic valve replacement. Of these patients; 54% (group A) received isolated valve replacement and 46% (group B) underwent myocardial revascularization as well. The perioperative mortality rate was 4.8% for group A and 7.7% for group B. The 30-day hospital mortality rate was 4.8% for group A and 15.4% for group B. The follow-up time ranged between 3 months and 63 months (32 +/- 15 months). None of the patients had to be reoperated for prosthetic valve dysfunction or endocarditis. Bleeding complications due to anticoagulation therapy were not observed. Of the 15 deaths during the follow-upperiod, seven (47%) were cardiac in nature and two (13%) were related to stroke. Actuarial survival rates for group A were 90%; 84%, and 76% at 1, 2,and 3 years, respectively, and for group B were 75%, 71%, and 68%. One year after the operation, permanent nursing care was not required-by 100% of patients in group A (2 years, 98%; 3 years, 95%) and by 100% of patients in group B (2 years; 95%; 3 years, 91 %). At a 1-year interval after the operation, 98% of patients in group A had not been hospitalized as a result of cardiac disorders (2 years, 98%; 3 years, 95%). The rates for group B were 90%, 85%, and 85%. Compared with younger age groups, aortic valve replacement in patients 80 years of age and older is associated with a distinctly increased mortality and morbidity. However, our data suggest that, consideringthe poor prognosis of conservative therapy of symptomatic aortic valve disease, functional status as well as life expectancy in this age group seem to be positively influenced by aortic valve replacement.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 07:27:49