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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
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[Aortic valve replacement in octogenarians with severe aortic stenosis. Experience in a series of consecutive

David Calvo1, Iñigo Lozano, Juan C Llosa

  • 1Area Clínica del Corazón, Hospital Universitario Central de Asturias, Oviedo, Asturias, España. Davidcalvo-307@hotmail.com

Revista Espanola De Cardiologia
|August 1, 2007
PubMed

Insights

Aortic valve replacement surgery is effective and safe for patients aged 80 and older with severe aortic stenosis, showing good long-term survival and low complication rates. Key mortality predictors include creatinine levels, emergency surgery, and reintervention for bleeding.

Area of Science:

  • Cardiovascular Surgery
  • Geriatric Cardiology
  • Valvular Heart Disease

Context:

  • Increasing life expectancy leads to more cases of severe aortic stenosis in octogenarians.
  • Percutaneous aortic valve prostheses are emerging as an alternative treatment option.
  • Evaluating current surgical outcomes in elderly patients is crucial.

Purpose:

  • To assess the effectiveness and safety of aortic valve replacement (AVR) in patients aged 80 years and older with severe aortic stenosis.
  • To analyze short-term and long-term outcomes, including survival rates and complications.
  • To identify predictors of mortality in this patient cohort.

Summary:

  • 104 out of 137 octogenarians (75.9%) with severe aortic stenosis underwent AVR.
  • Perioperative complications were low (myocardial infarction 2.9%, stroke 5.8%, pacemaker 5.8%), with 30-day mortality at 3.8%.
  • Long-term survival rates were favorable, with 6-year survival at 60%. Predictors of mortality included elevated creatinine, emergency surgery, and reintervention for bleeding. 76.3% of patients improved functionally (NYHA class I-IV).

Impact:

  • Aortic valve replacement is a viable and successful treatment for severe aortic stenosis in octogenarians.
  • The study provides valuable data on surgical outcomes in an aging population.
  • Findings support AVR as a beneficial intervention, despite identified mortality predictors.
Abstract

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