Related Experiment Video
Updated: Apr 26, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
13.3K
Redo valvular surgery in elderly patients aged > 75 years
The Journal of Heart Valve Disease
|August 1, 2014
Summary
Redo valvular surgery in patients over 75 years old had a high hospital mortality rate of 17%. While early outcomes were poor, long-term survival and freedom from valve-related events were satisfactory, emphasizing careful patient selection for redo surgery.
Area of Science:
- Cardiovascular Surgery
- Geriatric Cardiology
- Clinical Outcomes Research
Background:
- Limited data exists on the clinical outcomes of redo valvular surgery in patients over 75 years old.
- This age group presents unique challenges due to comorbidities and frailty.
Purpose of the Study:
- To evaluate the early and late clinical outcomes of redo valvular surgery in elderly patients (>75 years).
- To identify risk factors associated with hospital mortality, mid-term survival, and valve-related events in this population.
Main Methods:
- Retrospective analysis of 42 patients aged >75 undergoing redo valvular surgery (1991-2010).
- Mean follow-up of 2.5 years.
- Logistic and Cox regression analyses were used to identify predictors of outcomes.
Main Results:
- Hospital mortality was 17%. Prolonged ventilator support was an independent risk factor for hospital mortality.
- One-year and three-year survival rates were 78.3% and 67.1%, respectively. Age and prolonged ventilation predicted poorer mid-term survival.
- One-year and three-year freedom from valve-related events were 77.4% and 60.2%, respectively. Absence of peripheral artery disease was protective.
Conclusions:
- Redo valvular surgery in elderly patients (>75 years) is associated with relatively poor early outcomes but satisfactory late outcomes.
- Optimal patient selection and referral for redo valvular surgery are crucial for improving clinical results in this demographic.
More Related Videos
04:48Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery
Published on: November 28, 2018
7.0K
08:50Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
10.9K
Related Concept Videos
01:25Aortic Regurgitation III: Medical Management
583
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...
583
01:25Mitral Regurgitation III: Medical Management
670
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...
670
01:26Mitral Stenosis III: Medical Management
511
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...
511
01:28Mitral Regurgitation IV: Nursing Management
593
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...
593
01:15Drug Dosing: Geriatric Patients
392
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
392
01:22Mitral Valve Prolapse II: Assessment and Management
1.4K
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...
1.4K