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Outcome after aortic valve replacement in octogenarians.

Bruno Chiappini1, Nicola Camurri, Antonio Loforte

  • 1Department of Cardiovascular Surgery, University of Bologna, Italy. bruno_chiappini@hotmail.com

The Annals of Thoracic Surgery
|June 30, 2004
PubMed
Summary

Aortic valve replacement in octogenarians shows excellent outcomes, with acceptable operative risk and good long-term survival. Age alone should not prevent elderly patients from receiving this life-saving cardiac surgery.

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Area of Science:

  • Cardiovascular Surgery
  • Geriatric Cardiology

Background:

  • Increasing elderly population undergoing cardiac procedures.
  • Advancements in surgical techniques and postoperative care enable complex operations in older adults.

Purpose of the Study:

  • To evaluate the surgical outcomes of aortic valve replacement in octogenarians.
  • Assess the safety and efficacy of aortic valve replacement in patients aged 80 and above.

Main Methods:

  • Retrospective analysis of 115 octogenarian patients (mean age 82.3 years) undergoing aortic valve replacement.
  • Procedures included isolated aortic valve replacement (62.1%) or combined with coronary artery bypass grafting (37.9%).
  • Patients presented with severe aortic stenosis (mean valve area 0.62 cm², mean gradient 88.62 mm Hg).

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Main Results:

  • In-hospital mortality rate was 8.5%.
  • 1-year and 5-year actuarial survival rates were 86.4% and 69.4%, respectively.
  • Predictors of late mortality included ejection fraction, preoperative heart failure, and prosthesis type.

Conclusions:

  • Aortic valve replacement in octogenarians yields excellent surgical outcomes.
  • Operative risk is acceptable, and long-term survival rates are favorable.
  • Age should not be a sole contraindication for cardiac surgery in the elderly.