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Related Experiment Videos

Aortic valve replacement in octogenarians.

Amal K Bose1, James D Aitchison, John H Dark

  • 1Department of Cardiothoracic Surgery, The Freeman Hospital, High Heaton, Newcastle-upon-Tyne, NE7 7DN, UK. amal@doctors.net.uk

Journal of Cardiothoracic Surgery
|July 17, 2007
PubMed
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Aortic valve replacement (AVR) in octogenarians shows good operative mortality and excellent mid-to-long term survival. This safe procedure offers acceptable outcomes for patients over 80, with survival comparable to their age-matched peers.

Area of Science:

  • Cardiovascular Surgery
  • Geriatric Medicine
  • Clinical Outcomes Research

Background:

  • Increasing life expectancy leads to a growing number of octogenarians requiring cardiac surgery.
  • Aortic valve replacement (AVR) is a critical intervention for severe aortic valve disease.

Purpose of the Study:

  • To evaluate the outcomes of AVR in patients aged 80 years and older.
  • To assess the safety and efficacy of AVR in the octogenarian population.

Main Methods:

  • Retrospective review of 68 patients aged 80+ who underwent AVR between 2001 and 2004.
  • Data collected from patient records, GP notes, and NHS tracking service for 100% follow-up.
  • Analysis included isolated AVR and combined AVR with coronary artery bypass grafting (CABG).

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Main Results:

  • In-hospital 30-day mortality was 13%.
  • 1-year survival was 80%, and 2-year survival was 78%.
  • Chronic obstructive airways disease was an independent predictor of mortality; combined procedures and comorbidities did not adversely affect survival.

Conclusions:

  • AVR in octogenarians demonstrates favorable operative mortality and excellent mid-to-long term outcomes.
  • The procedure is safe and acceptable, with survival rates comparable to age-matched populations.
  • AVR provides a low attrition rate, enabling patients to live longer, healthier lives.