PMID- 1600990
OWN - NLM
STAT- MEDLINE
DCOM- 19920714
LR  - 20190509
IS  - 0195-668X (Print)
IS  - 0195-668X (Linking)
VI  - 13
IP  - 4
DP  - 1992 Apr
TI  - Valve replacement in octogenarians: increased early mortality but good long-term 
      result.
PG  - 508-10
AB  - Between January 1983 and December 1990, 20 patients aged 80 years or older 
      underwent valvular surgery. The patients' ages varied from 80 to 87 years (mean, 
      82 +/- 1.5 years). The indication for operation was aortic stenosis in 19 
      patients, and mitral insufficiency after previous mitral valve replacement with a 
      bioprosthesis in one. There were 15 elective, two urgent, and three emergency 
      operations. Four of these patients had aortic valve replacement plus coronary 
      artery bypass grafting. Six patients (30%) had an uneventful hospital stay, and 
      the other 14 (70%) experienced several post-operative complications. The 
      operative mortality rate was 15% (three patients). All patients before operation 
      were in NYHA (New York Heart Association) class III and IV and all survivors 
      remained in NYHA class I or II. The survivors have been followed from 6 to 70 
      months (mean 20 +/- 8 months). The actuarial survival rate at 1 and 5 years was 
      78.5% and 67%, respectively. Valvular replacement in octogenarians can be 
      performed, despite the high rate of post-operative complications, with increased 
      but acceptable mortality. Long-term results are good.
FAU - Pasic, M
AU  - Pasic M
AD  - Clinic for Cardiovascular Surgery, University Hospital Zurich, Switzerland.
FAU - Carrel, T
AU  - Carrel T
FAU - Laske, A
AU  - Laske A
FAU - Bauer, E
AU  - Bauer E
FAU - Turina, J
AU  - Turina J
FAU - Jenni, R
AU  - Jenni R
FAU - von Segesser, L
AU  - von Segesser L
FAU - Turina, M
AU  - Turina M
LA  - eng
PT  - Journal Article
PL  - England
TA  - Eur Heart J
JT  - European heart journal
JID - 8006263
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Valve/*surgery
MH  - *Bioprosthesis
MH  - *Coronary Artery Bypass
MH  - Coronary Disease/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - *Heart Valve Prosthesis
MH  - Hemodynamics/physiology
MH  - Humans
MH  - Male
MH  - Mitral Valve/*surgery
MH  - Postoperative Complications/*mortality
MH  - Prosthesis Design
MH  - Survival Rate
EDAT- 1992/04/01 00:00
MHDA- 1992/04/01 00:01
CRDT- 1992/04/01 00:00
PHST- 1992/04/01 00:00 [pubmed]
PHST- 1992/04/01 00:01 [medline]
PHST- 1992/04/01 00:00 [entrez]
AID - 10.1093/oxfordjournals.eurheartj.a060205 [doi]
PST - ppublish
SO  - Eur Heart J. 1992 Apr;13(4):508-10. doi: 
      10.1093/oxfordjournals.eurheartj.a060205.