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Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

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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...
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Aortic Regurgitation I: Introduction01:15

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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...
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Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

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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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Mitral Valve Prolapse II: Assessment and Management01:22

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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...
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Mitral Stenosis I: Introduction01:22

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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...
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Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

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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...
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Related Experiment Video

Updated: May 1, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Aortic valve replacement in octogenarians.

Jessica A Ditchfield1, Emily Granger2, Phillip Spratt2

  • 1Faculty of Medicine, University of New South Wales, Sydney NSW 2052, Australia.

Heart, Lung & Circulation
|April 23, 2014
PubMed
Summary
This summary is machine-generated.

Cardiac surgery for aortic valve disease in octogenarians is safe and effective. Aortic valve replacement in patients over 80 yields excellent survival rates and improved quality of life, challenging age-based exclusion criteria.

Keywords:
Aortic Valve ReplacementAortic valve surgeryCardiac surgeryHeart valve prothesisMedian sternotomyOctogenarian

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Geriatric Medicine

Background:

  • Increasing life expectancy leads to more octogenarians with aortic valve disease.
  • Cardiac surgery in octogenarians is often deemed high-risk due to comorbidities and rehabilitation challenges.

Purpose of the Study:

  • To analyze operative outcomes and long-term survival after aortic valve replacement in octogenarians.
  • To challenge the notion that octogenarians are unsuitable for cardiac surgery.

Main Methods:

  • Retrospective analysis of 87 consecutive patients undergoing aortic valve replacement (2000-2009).
  • Statistical analysis performed using SPSS (versions 15 and 19).

Main Results:

  • Average age was 82.7 years; mean logistic EuroSCORE was 18.86%.
  • In-hospital mortality was 3.4%; 1-year, 3-year, and 5-year survival rates were 92.9%, 86.7%, and 75.0%, respectively.
  • 98.1% of patients achieved New York Heart Association (NYHA) Class I or II post-operatively.

Conclusions:

  • Aortic valve replacement in octogenarians demonstrates excellent outcomes despite comorbidities and risk scores.
  • High survival rates and improved functional status (NYHA Class) support the success of the procedure.
  • Patient age alone should not preclude consideration for aortic valve disease treatment.