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Related Concept Videos

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 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 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 IV: Nursing Management01:28

Mitral Regurgitation IV: Nursing Management

Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
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 IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...

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Updated: Jun 26, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

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

Published on: December 11, 2017

Redo valvular surgery in elderly patients.

Manjula Maganti1, Vivek Rao, Susan Armstrong

  • 1Division of Cardiovascular Surgery, Peter Munk Cardiac Center, Toronto General Hospital and the Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

The Annals of Thoracic Surgery
|January 24, 2009
PubMed
Summary
This summary is machine-generated.

Redo cardiac valve surgery in elderly patients over 75 is feasible, with acceptable outcomes. Despite lower survival than younger patients, it offers a better prognosis than no intervention for valvular heart disease.

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Geriatric Medicine

Background:

  • Elderly patients (>75 years) represent a growing demographic undergoing cardiac surgery.
  • There is an increasing trend of elderly patients requiring repeat valve surgery for valvular heart disease.
  • This study evaluates outcomes of redo cardiac valve surgery in this specific population.

Purpose of the Study:

  • To determine the perioperative and long-term outcomes of redo cardiac valve surgery in patients aged 75 years and older.
  • To assess the feasibility and safety of repeat valve interventions in the elderly.
  • To compare outcomes with younger patient populations and non-surgical management.

Main Methods:

  • Retrospective review of an institutional database from 1990-2004.
  • Identified 112 patients aged 75+ who underwent redo valve surgery.
  • Mean follow-up of 5 years with 100% completeness.

Main Results:

  • Operative mortality was 10.7% (12 patients), with 42% late deaths.
  • Five-year survival was 67% +/- 5%.
  • Freedom from valve-related mortality/morbidity at 5 years was 86% +/- 4%.

Conclusions:

  • Redo valvular surgery in elderly patients (>75) can be performed with acceptable morbidity and mortality.
  • While 5-year survival is lower than in younger cohorts, it surpasses expected survival without intervention.
  • Elderly patients should be considered for redo surgical intervention for valvular heart disease, despite increased resource use.