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[A study of valve replacement in the elderly]

T Yamashiro1, K Kuge, T Tamiya

  • 1Second Department of Surgery, Kochi Medical School, Japan.

Rinsho Kyobu Geka = Japanese Annals of Thoracic Surgery
|February 1, 1990
PubMed
Summary

Elderly patients (≥60 years) undergoing valve replacement showed a 7-year survival rate of 70%. Surgical intervention is recommended for elderly patients when medical therapy is ineffective, following careful evaluation.

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Area of Science:

  • Cardiovascular Surgery
  • Geriatric Medicine
  • Cardiac Valve Disease

Context:

  • Elderly patients (≥60 years) often present with complex cardiac valve pathologies.
  • Surgical intervention for cardiac valve disease in the elderly requires careful consideration of risks and benefits.

Purpose:

  • To evaluate the outcomes of valve replacement surgery in elderly patients.
  • To assess the survival rates and complications associated with cardiac valve surgery in this demographic.

Summary:

  • 42 valve replacements were performed in 41 elderly patients (mean age 76.0 years) between 1982 and 1989.
  • Operative mortality was 4.8%, with a 7-year actuarial survival rate of 70%.
  • Common complications included AV conduction disturbances, thromboembolism (7%/patient-year), and prosthetic valve endocarditis (3%/patient-year).

Impact:

  • The study suggests that surgical treatment for elderly patients with cardiac valve disease can be beneficial when medical management fails.
  • Positive surgical outcomes support the consideration of valve replacement in carefully selected elderly individuals.
  • Findings highlight the importance of evaluating senile weakness for personalized surgical decision-making in geriatric cardiac surgery.

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