PMID- 8186556
OWN - NLM
STAT- MEDLINE
DCOM- 19940623
LR  - 20190920
IS  - 0886-0440 (Print)
IS  - 0886-0440 (Linking)
VI  - 9
IP  - 2 Suppl
DP  - 1994 Mar
TI  - Aortic valve replacement: procedure of choice in elderly patients with aortic 
      stenosis.
PG  - 148-53
AB  - Aortic valve replacement is the treatment of choice for elderly patients with 
      aortic stenosis. It can be accomplished with excellent immediate and long-term 
      results with significant functional improvement. Unfortunately, the literature is 
      replete with enthusiastic reports of aortic catheter balloon valvotomy. Initial 
      findings were controversial and the long-term results have been poor due to early 
      valve restenosis. A retrospective analysis of our surgical experience with aortic 
      valve replacement in the elderly seems appropriate in an effort to put this issue 
      in proper perspective. From January 1973 to June 1993, 200 consecutive patients 
      70 years of age and older with severe aortic stenosis underwent surgical 
      correction. There were 105 men (52.5%) and 95 women (47.5%), with a mean age of 
      76.2 years (range 70 to 89). Preoperatively, 195 patients (97.5%) were in New 
      York Heart Association (NYHA) Class III or IV. Over one half (61.0%) of the 
      patients experienced no hospital complications. The hospital mortality was 9.0% 
      (18 patients). This included 14 patients in NYHA Class IV. The mean follow-up was 
      69.3 months and ranged from 1 to 215 months. The actuarial survival for 182 
      patients discharged from the hospital was 70.8% +/- 4.0% (SEM) at 72 months (73 
      patients at risk) and 35.2% +/- 5.4% at 144 months (20 patients at risk). 
      Considering the advanced age and preoperative functional classification in this 
      patient group, the results of aortic valve replacement have been excellent. The 
      survival of patients discharged from the hospital compares favorably with a 
      normal population matched for age and sex. The results of aortic balloon 
      valvotomy have been disappointing.(ABSTRACT TRUNCATED AT 250 WORDS)
FAU - Pupello, D F
AU  - Pupello DF
AD  - St. Joseph's Heart Institute, Tampa, Florida.
FAU - Bessone, L N
AU  - Bessone LN
FAU - Hiro, S P
AU  - Hiro SP
FAU - Lopez-Cuenca, E
AU  - Lopez-Cuenca E
FAU - Glatterer, M S Jr
AU  - Glatterer MS Jr
FAU - Angell, W W
AU  - Angell WW
FAU - Ebra, G
AU  - Ebra G
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Card Surg
JT  - Journal of cardiac surgery
JID - 8908809
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Valve/*surgery
MH  - Aortic Valve Stenosis/*surgery
MH  - Cardiopulmonary Bypass
MH  - Catheterization
MH  - Cause of Death
MH  - Elective Surgical Procedures
MH  - Emergencies
MH  - Female
MH  - Florida/epidemiology
MH  - Follow-Up Studies
MH  - Heart Arrest, Induced
MH  - Heart Valve Prosthesis/adverse effects/mortality/*statistics & numerical data
MH  - Hospital Mortality
MH  - Humans
MH  - Hypothermia, Induced
MH  - Longitudinal Studies
MH  - Male
MH  - Postoperative Complications/epidemiology
MH  - Prosthesis Design
MH  - Retrospective Studies
MH  - Survival Rate
EDAT- 1994/03/01 00:00
MHDA- 2001/03/28 10:01
CRDT- 1994/03/01 00:00
PHST- 1994/03/01 00:00 [pubmed]
PHST- 2001/03/28 10:01 [medline]
PHST- 1994/03/01 00:00 [entrez]
AID - 10.1111/j.1540-8191.1994.tb00915.x [doi]
PST - ppublish
SO  - J Card Surg. 1994 Mar;9(2 Suppl):148-53. doi: 10.1111/j.1540-8191.1994.tb00915.x.