PMID- 6736114
OWN - NLM
STAT- MEDLINE
DCOM- 19840820
LR  - 20161026
IS  - 0021-9509 (Print)
IS  - 0021-9509 (Linking)
VI  - 25
IP  - 3
DP  - 1984 May-Jun
TI  - Aortic valve replacement in elderly patients.
PG  - 205-10
AB  - The results for 62 consecutive patients aged 70 or more given aortic valve 
      replacement (A.V.R.) between 1970 and 1982 are reported. All the patients were in 
      the New York Heart Association (N.Y.H.A.) functional class III (29%) or IV (71%); 
      54.8% had angina and 30.6% had experienced syncope. Forty patients had aortic 
      stenosis (A.S.), 10 had aortic regurgitation and 12 had mixed aortic valve 
      disease. The operative myocardial infarction rate was 6.4%. Tilting disk valves 
      were used. Eighty percent of the patients were anticoagulated with Warfarin 
      whilst twenty percent received only antiplatelet drugs. All the patients were 
      followed up for a mean period of 26 months; late mortality was 22.6% with 4.8% 
      cardiac deaths. The thromboembolic rate was 1.6% and the disinsertion rate was 
      3.2%. Cerebral stroke was fatal in 3 cases in anticoagulated patients but the 
      mechanism of the accident was not known. At the termination of the study 93% of 
      surviving patients were in N.Y.H.A. class I or II. No patient was in class IV. 
      The probability of five year survival is 71% for the entire group.
FAU - Glock, Y
AU  - Glock Y
FAU - Pecoul, R
AU  - Pecoul R
FAU - Cerene, A
AU  - Cerene A
FAU - Laguerre, J
AU  - Laguerre J
FAU - Puel, P
AU  - Puel P
LA  - eng
PT  - Journal Article
PL  - Italy
TA  - J Cardiovasc Surg (Torino)
JT  - The Journal of cardiovascular surgery
JID - 0066127
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Aortic Valve/surgery
MH  - Aortic Valve Insufficiency/*surgery
MH  - Aortic Valve Stenosis/*surgery
MH  - *Heart Valve Prosthesis/mortality
MH  - Humans
MH  - Intraoperative Complications
MH  - Mortality
MH  - Postoperative Complications
MH  - Prognosis
EDAT- 1984/05/01 00:00
MHDA- 1984/05/01 00:01
CRDT- 1984/05/01 00:00
PHST- 1984/05/01 00:00 [pubmed]
PHST- 1984/05/01 00:01 [medline]
PHST- 1984/05/01 00:00 [entrez]
PST - ppublish
SO  - J Cardiovasc Surg (Torino). 1984 May-Jun;25(3):205-10.