PMID- 15226983
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20050202
LR  - 20181113
IS  - 0730-2347 (Print)
IS  - 0730-2347 (Linking)
VI  - 12
IP  - 4
DP  - 1985 Dec
TI  - Aortic valve replacement in septuagenarians.
PG  - 295-9
AB  - To evaluate the risk factors of aortic valve replacement (AVR) in the elderly, 35 
      patients over the age of 70 who had undergone this procedure were reviewed. 
      Twenty-four patients had isolated AVR, three had double valve replacement, seven 
      had a combined procedure of AVR and aortocoronary bypass, and one had AVR and 
      open mitral commissurotomy. There were 27 elective and eight emergency 
      operations. Nineteen patients were in the New York Heart Association (NYHA) Class 
      III, and 16 patients were in NYHA Class IV preoperatively. Hospital mortality was 
      7.4% (two cases) in the elective group, and 337.5% (three cases) in the emergency 
      group. The major risk factors were found to be the urgency of operation and left 
      ventricular failure associated with severe pulmonary hypertension. There was no 
      postoperative mortality among the seven patients who underwent the combined 
      procedures of AVR and aortocoronary bypass. Follow-up of survivors revealed that 
      90% returned to NYHA Class I or II, and have an improved lifestyle. Our data 
      suggest that elective AVR is a safe beneficial operation in septuagenarians. 
      Emergency surgery and severe left ventricular failure contribute to high 
      mortality; therefore, AVR should be performed in septuagenarians as early as 
      indicated.
FAU - Kaplan, O
AU  - Kaplan O
AD  - Thoracic and Cardiovascular Surgery Department, Tel-Aviv Medical Center, Ichilov 
      Hospital, Tel-Aviv, Israel.
FAU - Yakirevich, V
AU  - Yakirevich V
FAU - Vidne, B A
AU  - Vidne BA
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Tex Heart Inst J
JT  - Texas Heart Institute journal
JID - 8214622
PMC - PMC341878
EDAT- 1985/12/01 00:00
MHDA- 2004/07/01 05:00
CRDT- 1985/12/01 00:00
PHST- 1985/12/01 00:00 [pubmed]
PHST- 2004/07/01 05:00 [medline]
PHST- 1985/12/01 00:00 [entrez]
PST - ppublish
SO  - Tex Heart Inst J. 1985 Dec;12(4):295-9.