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Valve replacement in patients over 70 years

L N Bessone, D F Pupello, R H Blank

    The Annals of Thoracic Surgery
    |November 1, 1977
    PubMed
    Summary
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    Elderly patients over 70 undergoing heart valve replacement surgery showed improved cardiac status and acceptable mortality rates. This study indicates complex cardiac procedures are safe for older adults.

    Area of Science:

    • Cardiovascular Surgery
    • Geriatric Medicine

    Background:

    • Cardiac valve replacement is a complex procedure.
    • Elderly patients present unique challenges for surgical interventions.

    Purpose of the Study:

    • To evaluate the safety and outcomes of cardiac valve replacement in patients over 70 years old.
    • To assess early and late mortality rates and functional status post-surgery.

    Main Methods:

    • A retrospective review of 54 consecutive patients over 70 years old undergoing valve replacement between July 1972 and April 1976.
    • Patients were categorized into isolated aortic, isolated mitral, or combined valve replacement groups.
    • Follow-up data was collected for hospital survivors.

    Main Results:

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  • An early mortality of 3.7% was observed (2 deaths among 54 patients).
  • Late mortality was 3.8% among hospital survivors over a 1-41 month follow-up period.
  • Fifty of 52 hospital survivors demonstrated noticeable improvement in cardiac status.

    • Conclusions:

    • Cardiac valve replacement can be performed safely in elderly patients (>70 years) with current surgical techniques.
    • Acceptable operative mortality and a satisfactory long-term prognosis are achievable.
    • Complex intracardiac procedures are feasible and beneficial for this patient population.