PMID- 16528988
OWN - NLM
STAT- MEDLINE
DCOM- 20060331
LR  - 20161124
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 59
IP  - 3
DP  - 2006 Mar
TI  - [Surgical strategy for critical aoritc stenosis with small aortic annulus in the 
      elderly patients].
PG  - 181-6
AB  - BACKGROUND: There are an increasing number of elderly patients with critical 
      aortic stenosis. This study was performed to evaluate the surgical outcome of 
      aortic valve surgery for elderly patients with aortic stenosis. METHODS: Eleven 
      patients aged over 75 years old (mean 79.7 +/- 4.4) underwent aortic valve 
      replacement with stented bioprosthesis from May 2001 to August 2004. All of the 
      patients had a history of congestive heart failure, syncope, or angina pectoris 
      with multiple medical problems including renal dysfunction, diabetes mellitus, 
      cerebral infarction, or coronary artery disease. The New York Heart Association 
      (NYHA) classification ranged II to IV (mean 2.8 +/- 0.7). Their logistic Euro 
      score ranged from 2.56 to 41.61 (mean 8.6 +/- 10.9). The concomitant procedures 
      were annular enlargement in 2 and coronary artery bypass grafting (CABG) in 3 
      patients. RESULTS: All patients tolerated these procedures well and were 
      discharged except 1 patient who died from arrhythmia on the postoperative day 14. 
      Postoperative echocardiogram after 3 months showed satisfactory decrease in peak 
      left ventricular-aortic pressure gradient as well as left ventricular mass 
      regression. All surviving patients are in NYHA class I. CONCLUSIONS: Aortic valve 
      replacement provided satisfactory results for elderly patients. Surgical 
      treatment should be considered even for the elderly patients with critical aortic 
      stenosis under meticulous perioperative management.
FAU - Kamisaka, T
AU  - Kamisaka T
AD  - Department of Second Surgery, University of Fukui Faculty of Medical Sciences, 
      Fukui, Japan.
FAU - Uesaka, T
AU  - Uesaka T
FAU - Tanaka, K
AU  - Tanaka K
FAU - Morioka, K
AU  - Morioka K
FAU - Ree, I
AU  - Ree I
FAU - Yamada, N
AU  - Yamada N
FAU - Takamori, A
AU  - Takamori A
FAU - Handa, M
AU  - Handa M
FAU - Tanabe, S
AU  - Tanabe S
FAU - Ihaya, A
AU  - Ihaya A
FAU - Sasaki, M
AU  - Sasaki M
LA  - jpn
PT  - Journal Article
PL  - Japan
TA  - Kyobu Geka
JT  - Kyobu geka. The Japanese journal of thoracic surgery
JID - 0413533
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Valve/*surgery
MH  - Aortic Valve Stenosis/diagnostic imaging/*surgery
MH  - *Bioprosthesis
MH  - Echocardiography
MH  - Female
MH  - Heart Failure/complications
MH  - *Heart Valve Prosthesis Implantation
MH  - Humans
MH  - Male
EDAT- 2006/03/15 09:00
MHDA- 2006/04/01 09:00
CRDT- 2006/03/15 09:00
PHST- 2006/03/15 09:00 [pubmed]
PHST- 2006/04/01 09:00 [medline]
PHST- 2006/03/15 09:00 [entrez]
PST - ppublish
SO  - Kyobu Geka. 2006 Mar;59(3):181-6.