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Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...

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Related Experiment Video

Updated: Jun 27, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Simultaneous aortic and mitral valve replacement in octogenarians: a viable option?

Ariane Maleszka1, Georg Kleikamp, Armin Zittermann

  • 1Department of Thoracic and Cardiovascular Surgery, Heart and Diabetes Center North-Rhine Westfalia, University Hospital of Ruhr University Bochum, Bad Oeynhausen, Germany.

The Annals of Thoracic Surgery
|November 22, 2008
PubMed
Summary

Octogenarians undergoing double valve replacement had a 91% 30-day survival and 71% 1-year survival. Patient performance status and bypass time predicted short-term mortality, while preoperative stroke and postoperative intestinal failure predicted long-term mortality.

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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Published on: March 26, 2018

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

Area of Science:

  • Cardiovascular Surgery
  • Geriatric Medicine
  • Cardiac Valve Disease

Background:

  • Limited data exist on the clinical outcomes of octogenarians undergoing simultaneous aortic and mitral valve replacement.
  • This study addresses the need for more information on this high-risk patient population.

Purpose of the Study:

  • To evaluate the clinical outcomes, including mortality and survival rates, of octogenarians undergoing simultaneous aortic and mitral valve replacement.
  • To identify predictors of short-term and long-term mortality in this patient group.

Main Methods:

  • Retrospective analysis of 55 patients aged 80 years and over who underwent double valve replacement between 2001 and 2005.
  • Assessment of 30-day mortality and 1-year survival rates.
  • Multivariable logistic regression analysis to identify independent predictors of mortality.

Main Results:

  • Aortic valve stenosis and mitral valve regurgitation were the most common indications for surgery.
  • A significant proportion of patients had urgent/emergency surgery and multiple comorbidities (e.g., atrial fibrillation, coronary artery disease, renal insufficiency).
  • Thirty-day and 1-year survival rates were 91% and 71%, respectively. Karnofsky performance status, bypass time, preoperative stroke, and postoperative intestinal failure were identified as independent predictors of mortality.

Conclusions:

  • Simultaneous aortic and mitral valve replacement can be performed with acceptable outcomes in selected octogenarian patients.
  • Preoperative patient condition, particularly performance status, is crucial for improving survival.
  • Further research may focus on optimizing patient selection and perioperative management to enhance outcomes.