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Updated: May 16, 2026

Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery

Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery

Published on: November 28, 2018

Advanced age: a contraindication for triple-valve surgery?

Sven Peterss¹, Caroline Fortmann, Maximilian Pichlmaier

¹Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany. sven.peterss@med.uni-muenchen.de

The Journal of Heart Valve Disease

|November 22, 2012

Summary

Triple-valve surgery in older adults carries high risk, but age alone should not preclude treatment. Outcomes and quality of life are comparable between younger and older septuagenarian patients undergoing this complex cardiac procedure.

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Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery

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

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

Published on: March 26, 2018

Area of Science:

Cardiothoracic Surgery
Cardiac Valve Disease
Geriatric Cardiology

Background:

Increasing elderly population presents more cases of degenerative valve disease.
Septuagenarians with triple valve disease often face surgical refusal due to perceived high perioperative risk.
Co-morbidities in elderly patients complicate surgical decision-making for complex cardiac conditions.

Purpose of the Study:

To determine the indications for triple-valve surgery in elderly patients.
To compare perioperative outcomes, focusing on age-related mortality and morbidity.
To assess the impact of age on long-term survival and quality of life after triple-valve surgery.

Main Methods:

Retrospective analysis of 90 consecutive patients undergoing triple-valve surgery (1996-2010).
Patients divided into two age groups: <=70 years and >70 years.
Follow-up included mortality, morbidity assessment, and quality of life evaluation (MLHFQ).

Main Results:

Overall 30, 60, and 90-day mortality rates were 16%, 24%, and 26%, respectively.
One-year survival was 69% with no significant difference between age groups.
Valve-related morbidity and quality of life (MLHFQ scores) were similar across age groups.

Conclusions:

Triple-valve surgery in elderly patients is feasible and not associated with increased mortality or morbidity compared to younger counterparts.
Age should not be the sole criterion for refusing triple-valve surgery; individualized patient assessment is crucial.
Acceptable quality of life can be achieved in elderly patients following triple-valve surgery.