Klappenersatz bei uber 80jahrigen Patienten. [Valve replacement in patients over 80 years of age]
Détails
ID Serval
serval:BIB_482F5FEBEF3C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Klappenersatz bei uber 80jahrigen Patienten. [Valve replacement in patients over 80 years of age]
Périodique
Helvetica Chirurgica Acta
ISSN
0018-0181
Statut éditorial
Publié
Date de publication
01/1992
Volume
58
Numéro
4
Pages
489-93
Notes
English Abstract
Journal Article --- Old month value: Jan
Journal Article --- Old month value: Jan
Résumé
Between January 1983 and October 1990, 20 patients age 80 years or older (mean 82 +/- 1.5 year, range 80 to 87 years) underwent valvular surgery at Clinic for Cardiovascular Surgery Zurich. The indication for operation was aortic stenosis in 19 patients, and mitral insufficiency after previous mitral valve replacement with a bioprosthesis in one. There were 15 elective operations, 2 urgent, and 3 emergency operations. Four of these patients had aortic valve replacement plus coronary artery bypass grafting. The operative mortality rate was 15% (3 patients). All patients were preoperative in NYHA classes III and IV. All survivors remained in NYHA classes I or II. The survivors have been followed from 6 to 70 months (mean 20 +/- 8 months). The actuarial survival rate at 1 and 5 years was 78.5% and 67%, respectively. Valvular replacement can be performed with increased but acceptable mortality and morbidity. Long-term results are encouraging.
Mots-clé
Aged
Aged, 80 and over
Aortic Valve/*surgery
*Bioprosthesis
Coronary Artery Bypass
Female
Heart Valve Diseases/mortality/*surgery
*Heart Valve Prosthesis
Humans
Male
Mitral Valve/*surgery
Postoperative Complications/mortality
Survival Rate
Pubmed
Web of science
Création de la notice
14/02/2008 15:18
Dernière modification de la notice
20/08/2019 14:54