Related Experiment Video

Updated: Jun 8, 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

Quality-of-life in octogenarians one year after aortic valve replacement with or without coronary artery bypass

Sandra Folkmann1, Michael Gorlitzer, Gabriel Weiss

  • 1Department of Cardiac Surgery, Hospital Hietzing, Wolkersbergenstr. 1, 1130 Vienna, Austria. s.folkmann@gmx.at

Interactive Cardiovascular and Thoracic Surgery
|September 18, 2010
PubMed

Insights

Open aortic valve replacement (AVR) in octogenarians shows an 81.8% one-year survival rate. Quality of life significantly improves post-surgery, supporting AVR for elderly patients.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Geriatric Medicine

Background:

  • The rise of minimally invasive percutaneous aortic valve replacement necessitates re-evaluation of outcomes for traditional open aortic valve replacement (AVR).
  • Octogenarians represent a growing patient demographic undergoing AVR, with unique considerations for surgical risk and recovery.

Purpose of the Study:

  • To evaluate one-year survival rates and quality of life (QoL) after open bioprosthetic AVR in octogenarians.
  • To compare outcomes between AVR with and without concomitant coronary artery bypass grafting (CABG).
  • To identify risk factors influencing mortality in this elderly population.

Main Methods:

  • Retrospective review of 154 octogenarian patients (mean age 82.9 years) who underwent open AVR between 2005-2007.
  • Patients were divided into two groups: AVR with CABG (n=80) and AVR without CABG (n=74).
  • One-year QoL was assessed using the Seattle Angina Questionnaire; mortality risk factors were analyzed.

Main Results:

  • The in-hospital mortality rate was 7.8%, and the 12-month survival rate was 81.8%.
  • No significant differences in preoperative risk factors (e.g., renal insufficiency, COPD, diabetes, CVD, logistic EuroSCORE, CABG) were found between survivors and non-survivors.
  • A substantial improvement in physical fitness was reported by 126 patients one year post-surgery.

Conclusions:

  • Open AVR, particularly without concomitant CABG, is associated with favorable outcomes in octogenarians.
  • Significant QoL improvement one year after surgery supports the consideration of AVR for patients over 80.
  • Preoperative risk factors did not reliably predict mortality, highlighting the complex interplay of factors in this age group.

More Related Videos

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots12:17

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

Published on: May 21, 2017

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...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
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...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...