PMID- 24751512
OWN - NLM
STAT- MEDLINE
DCOM- 20150624
LR  - 20220330
IS  - 1444-2892 (Electronic)
IS  - 1443-9506 (Linking)
VI  - 23
IP  - 9
DP  - 2014 Sep
TI  - Aortic valve replacement in octogenarians.
PG  - 841-6
LID - S1443-9506(14)00153-X [pii]
LID - 10.1016/j.hlc.2014.03.017 [doi]
AB  - BACKGROUND: With improved life expectancy more octogenarians now present with 
      aortic valve disease. Cardiac surgery in this group of patients has previously 
      been considered high risk due to co-morbidities and challenges of rehabilitation. 
      This study seeks to challenge the concept of octogenarian cardiac surgery 
      "unsuitability" by analysing operative outcomes and long term survival following 
      aortic valve replacement. METHODS: Eighty-seven consecutive patients undergoing 
      aortic valve replacement between 2000 and 2009 at St Vincent's Hospital were 
      retrospectively identified. Statistical analysis was performed using SPSS 
      (version 15 and 19). RESULTS: The average age was 82.7 +/- 2.4 years. The mean 
      logistic EuroSCORE was 18.86 +/- 14.11. Post-operatively, four patients required 
      insertion of a permanent pacemaker (4.6%) and five patients had a myocardial 
      infarction (5.8%). In-hospital mortality was 3.4%. Follow-up was 93.1% complete. 
      One-year survival was 92.9%, three-year survival was 86.7% and five-year survival 
      was 75.0%. At follow-up 98.1% of patients were New York Heart Association (NYHA) 
      Class I or II. CONCLUSIONS: Results were excellent despite reasonable 
      co-morbidities and Euroscore risk. Survival was impressive and the NYHA class 
      reflected the success of the surgery in relieving the pathological aortic valve 
      process. Patient age should not be the primary exclusion for cardiac surgery for 
      aortic valve disease.
CI  - Crown Copyright (c) 2014. Published by Elsevier B.V. All rights reserved.
FAU - Ditchfield, Jessica A
AU  - Ditchfield JA
AD  - Faculty of Medicine, University of New South Wales, Sydney NSW 2052, Australia. 
      Electronic address: jess_ditchfield@hotmail.com.
FAU - Granger, Emily
AU  - Granger E
AD  - Department of Cardiothoracic Surgery, St Vincent's Hospital, Darlinghurst, Sydney 
      NSW 2010, Australia.
FAU - Spratt, Phillip
AU  - Spratt P
AD  - Department of Cardiothoracic Surgery, St Vincent's Hospital, Darlinghurst, Sydney 
      NSW 2010, Australia.
FAU - Jansz, Paul
AU  - Jansz P
AD  - Department of Cardiothoracic Surgery, St Vincent's Hospital, Darlinghurst, Sydney 
      NSW 2010, Australia.
FAU - Dhital, Kumud
AU  - Dhital K
AD  - Department of Cardiothoracic Surgery, St Vincent's Hospital, Darlinghurst, Sydney 
      NSW 2010, Australia.
FAU - Farnsworth, Alan
AU  - Farnsworth A
AD  - Department of Cardiothoracic Surgery, St Vincent's Hospital, Darlinghurst, Sydney 
      NSW 2010, Australia.
FAU - Hayward, Chris
AU  - Hayward C
AD  - Department of Cardiology, St Vincent's Hospital, Darlinghurst, Sydney NSW 2010, 
      Australia.
LA  - eng
PT  - Journal Article
DEP - 20140326
PL  - Australia
TA  - Heart Lung Circ
JT  - Heart, lung & circulation
JID - 100963739
SB  - IM
MH  - Aged, 80 and over
MH  - Aortic Valve/*surgery
MH  - Aortic Valve Stenosis/*mortality/*surgery
MH  - *Bioprosthesis
MH  - Critical Care
MH  - Female
MH  - *Heart Valve Prosthesis
MH  - *Heart Valve Prosthesis Implantation
MH  - Hospital Mortality
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Sternotomy/mortality
MH  - Survival Rate
OTO - NOTNLM
OT  - Aortic Valve Replacement
OT  - Aortic valve surgery
OT  - Cardiac surgery
OT  - Heart valve prothesis
OT  - Median sternotomy
OT  - Octogenarian
EDAT- 2014/04/23 06:00
MHDA- 2015/06/25 06:00
CRDT- 2014/04/23 06:00
PHST- 2013/11/04 00:00 [received]
PHST- 2014/02/23 00:00 [revised]
PHST- 2014/03/05 00:00 [accepted]
PHST- 2014/04/23 06:00 [entrez]
PHST- 2014/04/23 06:00 [pubmed]
PHST- 2015/06/25 06:00 [medline]
AID - S1443-9506(14)00153-X [pii]
AID - 10.1016/j.hlc.2014.03.017 [doi]
PST - ppublish
SO  - Heart Lung Circ. 2014 Sep;23(9):841-6. doi: 10.1016/j.hlc.2014.03.017. Epub 2014 
      Mar 26.