AORTIC-VALVE REPLACEMENT (AVR) - INFLUENCE OF AGE ON OPERATIVE MORBIDITY AND MORTALITY

被引:16
作者
BERGUS, BO [1 ]
FENG, WC [1 ]
BERT, AA [1 ]
SINGH, AK [1 ]
机构
[1] RHODE ISL HOSP,DIV CARDIOTHORAC SURG,110 LOCKWOOD ST,PROVIDENCE,RI 02903
关键词
AORTIC VALVE REPLACEMENT; INFLUENCE OF AGE;
D O I
10.1016/1010-7940(92)90116-F
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Retrospective analysis of 306 patients following aortic valve replacement (AVR) was carried out between 1985-89. Patients were divided into two groups: group 1 patients were < 70 years of age and group 2 were > 70 years of age. The multivariant analysis of risk factors showed the only increased risk for surgery was the NYHA class IV in either group. There was no overall difference in morbidity and mortality. The actuarial survival rate for group 2 patients was 95% at 1 year and 75% at 5 years. This was not different when compared for death in age- and sex-matched controls from the general population. AVR in the elderly is safe, the long-term result is good and it remains the treatment of choice unless there is an absolute contraindication.
引用
收藏
页码:118 / 121
页数:4
相关论文
共 13 条
  • [1] Antunes J.M., Valve replacement in the elderly - Is the mechanical valve a good alternative?, J Thorac Cardiovasc Surg, 98, pp. 485-491, (1989)
  • [2] Borkon A.M., Soule L.M., Baughman K.L., Aortic valve selection in the elderly patient, Ann Thorac Surg, 46, pp. 270-277, (1988)
  • [3] Block P.C., Aortic valvuloplasty - a valid alternative?, N Engl J Med, 319, pp. 169-171, (1988)
  • [4] Bessone L.N., Pupello D.F., Hiro S.P., Lopez-Cuenca E., Glatterer M.S., Elera G., Surgical management of aortic valve disease in the elderly: A longitudinal analysis, Ann Thorac Surg, 46, pp. 264-269, (1988)
  • [5] Cox D.R., Regression models and life tables, J R Stat Soc [B], 34, pp. 187-220, (1972)
  • [6] Galloway A.C., Colvin S.B., Grossi E.A., Baumann F.G., Salibean Y.P., Ten year experience with aortic valve replacement in 482 patients 70 years of age and older: Operative risk and long term results, Ann Thorac Surg, 49, pp. 84-93, (1990)
  • [7] Grover F.L., Hammermeister K.E., Burchfiel C., Initial report of the Veterans Administration preoperative risk assessment study for cardiac surgery, Ann Thorac Surg, 50, pp. 12-28, (1990)
  • [8] Isner J., Salem D., Desnoyers M., Treatment of calcific aortic stenosis by balloon valvuloplasty, Am J Cardiol, 59, (1987)
  • [9] Kuntz R.E., Leonard B.M., Erny R.E., Follow-up of balloon aortic valvuloplasty: Results in 192 cases, J Am Coll Cardiol, 13, (1989)
  • [10] Lytle W.B., Cosgrove M.D., Taylor C.P., Primary isolated aortic valve replacement - Early and late results, J Thorac Cardiovasc Surg, 97, pp. 675-694, (1989)