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Related Experiment Video

Updated: Feb 11, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Long-term Outcomes in Octogenarians Following Isolated Aortic Valve Replacement.

Sara Simões Costa1, Diogo Rijo1, João Pedro Monteiro1

  • 1Serviço de Cirurgia Cardiotorácica, Centro Hopsitalar de Vila Nova de Gaia/Espinho, EPE, Portugal.

Revista Portuguesa De Cirurgia Cardio-Toracica E Vascular : Orgao Oficial Da Sociedade Portuguesa De Cirurgia Cardio-Toracica E Vascular
|April 28, 2018
PubMed
Summary
This summary is machine-generated.

Aortic valve replacement (AVR) in patients 80 and older shows satisfactory outcomes, with acceptable operative risks and good long-term survival. Age alone should not preclude patients from conventional cardiac surgery for aortic valve disease.

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Geriatric Medicine

Background:

  • Elderly patients undergoing isolated aortic valve replacement (AVR) face increased operative risks due to comorbidities.
  • Advanced age often leads to transcatheter aortic valve implantation (TAVI) consideration over surgical AVR.
  • Renewed interest exists in conventional AVR outcomes for high-risk patients in the TAVI era.

Purpose of the Study:

  • To evaluate the short- and long-term outcomes of elective AVR in patients aged 80 years and older.
  • To assess the feasibility and safety of conventional AVR in an elderly population.
  • To determine if advanced age should be a primary exclusion criterion for AVR.

Main Methods:

  • Retrospective review of 100 patients aged 80+ who underwent elective AVR between July 2011 and May 2015.
  • Data collection included patient demographics, preoperative status (NYHA class, EuroSCORE II), and procedural outcomes.
  • Follow-up information was obtained from cardiologists and general practitioners; statistical analysis used IBM SPSS version 24.

Main Results:

  • In-hospital mortality was 4.0%, aligning with the mean EuroSCORE II of 4.1±3.2.
  • One-year survival was 85.0%, three-year survival was 81.4%, and five-year survival was 59.4%.
  • At follow-up, 96.0% of patients were in NYHA Class I or II; late complications included 2 cases of endocarditis and 2 instances of structural valve deterioration.

Conclusions:

  • Conventional AVR in octogenarians yields satisfactory outcomes with acceptable operative risks.
  • An individualized approach to perioperative management may further reduce risks in high-risk elderly patients.
  • Patient age should not be the sole reason for excluding individuals from conventional cardiac surgery for aortic valve disease.