The risk of reoperative heart valve procedures in Octogenarian patients.

Détails

ID Serval
serval:BIB_EBBC63B62A2D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
The risk of reoperative heart valve procedures in Octogenarian patients.
Périodique
The Journal of heart valve disease
Auteur(s)
Kirsch M., Nakashima K., Kubota S., Houël R., Hillion M.L., Loisance D.
ISSN
0966-8519 (Print)
ISSN-L
0966-8519
Statut éditorial
Publié
Date de publication
11/2004
Peer-reviewed
Oui
Volume
13
Numéro
6
Pages
991-6; discussion 996
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
Résumé
The authors' experience is reported of cardiac reoperations for valvular heart disease in octogenarian patients.
The records of 22 consecutive patients (10 men, 12 women) aged > or =80 years (mean age 82.4+/-2.3 years) who underwent cardiac reoperation for aortic and/or mitral valvular heart disease at the authors' institution between 1991 and 2001 were retrospectively reviewed.
Indications for reoperation were structural dysfunction of a previously implanted bioprosthetic valve in 11 patients (50%), new valvular heart disease in six (27%), progression of rheumatic valvular heart disease in four (18%), and prosthetic valve infective endocarditis in one patient (5%). Fourteen patients (64%) underwent isolated aortic valve replacement (AVR), two (9%) had AVR plus coronary artery bypass grafting (CABG), one patient (5%) had aortic root replacement plus CABG, three patients (14%) had isolated mitral valve replacement (MVR), one patient (5%) had MVR plus ascending aorta replacement, and one (5%) had AVR plus MVR. Postoperative complications occurred in 18 patients (82%). The hospital mortality rate was 32%. Actuarial survival estimates at one year, and at three and five years were 62.6%, 56.3% and 40.2%, respectively.
Cardiac reoperations for valvular heart disease in octogenarians carry a high postoperative morbidity and mortality. These findings must be taken into account in the management of associated mild or moderate valvular heart disease, and in the choice of heart valve prosthesis at the initial operation in younger patients.
Mots-clé
Aged, Aged, 80 and over, Female, Follow-Up Studies, Heart Valve Diseases/mortality, Heart Valve Diseases/surgery, Heart Valve Prosthesis Implantation, Hospital Mortality, Humans, Male, Morbidity, Postoperative Complications, Reoperation, Retrospective Studies, Risk Factors, Survival Analysis, Treatment Outcome
Pubmed
Web of science
Création de la notice
30/03/2019 16:52
Dernière modification de la notice
20/08/2019 16:13
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