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Aortic valve replacement for aortic stenosis in 200 consecutive octogenarians
Y Logeais1, R Roussin, T Langanay
1Clinic for Cardiovascular and Thoracic Surgery, University Hospital Center, Rennes, France.
The Journal of Heart Valve Disease
|July 1, 1995
Summary
Aortic valve replacement in octogenarians with severe aortic stenosis is feasible. Despite operative risks, this procedure improves survival and quality of life, offering comparable life expectancy to their peers.
Area of Science:
- Cardiology
- Cardiac Surgery
- Geriatric Medicine
Background:
- Calcified aortic stenosis is a common condition in the elderly.
- Octogenarians (80-90 years) represent a growing patient population requiring cardiac interventions.
Purpose of the Study:
- To evaluate the outcomes of aortic valve replacement (AVR) in octogenarians.
- To assess the safety, efficacy, and long-term survival after AVR in this age group.
Main Methods:
- Retrospective analysis of 200 consecutive patients aged 80-90 years undergoing AVR between 1978 and 1992.
- Inclusion criteria: calcified aortic stenosis.
- Data collection included operative details, mortality, hospitalization, and long-term follow-up.
Main Results:
- Operative mortality was 11.5%. Mean hospitalization was 12.7 days.
- Long-term follow-up (mean 2.8 years) showed 49 deaths.
- Of 128 survivors, 98.6% were in NYHA class I or II, indicating improved functional status.
Conclusions:
- Aortic valve replacement in octogenarians is associated with acceptable operative risk.
- The procedure significantly improves quality of life and offers survival rates comparable to the general population of the same age.
- AVR in octogenarians is a justified intervention for severe aortic stenosis.