PMID- 300438
OWN - NLM
STAT- MEDLINE
DCOM- 19770520
LR  - 20161017
IS  - 0098-7484 (Print)
IS  - 0098-7484 (Linking)
VI  - 237
IP  - 15
DP  - 1977 Apr 11
TI  - Isolated aortic valve replacement in patients older than 65 years.
PG  - 1578-81
AB  - The results of 196 isolated aortic valve replacements in patients older than 65 
      years were analyzed. Eighty-four percent of patients were in New York Heart 
      Association (NYHA) functional class III or IV preoperatively. The operative 
      mortality was 12% for all cases and 9% for elective cases. Actuarial probability 
      of five-year survival was 55% for the entire group and 61% for discharged 
      patients. Myocardial failure and congestive heart failure were the most common 
      causes of early and late postoperative death, respectively. Embolic strokes 
      occurred in 16% of discharged patients and caused substantial disability in 9%. 
      At the termination of the study, 94% of surviving patients were in NYHA class I 
      or II, and none were in class IV. Aortic valve replacement in elderly patients 
      entails reasonable operative risk, and results in satisfactory postoperative 
      rehabilitation.
FAU - Copeland, J G
AU  - Copeland JG
FAU - Griepp, R B
AU  - Griepp RB
FAU - Stinson, E B
AU  - Stinson EB
FAU - Shumway, N E
AU  - Shumway NE
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - JAMA
JT  - JAMA
JID - 7501160
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Angiography
MH  - Aortic Valve/*surgery
MH  - Aortic Valve Insufficiency/surgery
MH  - Aortic Valve Stenosis/surgery
MH  - Arrhythmias, Cardiac/etiology
MH  - Cardiac Surgical Procedures/mortality
MH  - Coronary Artery Bypass
MH  - Coronary Circulation
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Postoperative Complications
MH  - Preoperative Care
MH  - Time Factors
EDAT- 1977/04/11 00:00
MHDA- 1977/04/11 00:01
CRDT- 1977/04/11 00:00
PHST- 1977/04/11 00:00 [pubmed]
PHST- 1977/04/11 00:01 [medline]
PHST- 1977/04/11 00:00 [entrez]
PST - ppublish
SO  - JAMA. 1977 Apr 11;237(15):1578-81.