Aortic Valve Replacement in Octogenarians With Severe Aortic Stenosis. Experience in a Series of Consecutive Patients at a Single Center

Calvo, David; Lozano, Íñigo; Llosa, Juan C.; Lee, Dae-Hyun; Martı́n, Marı́a; Avanzas, Pablo; Valle, José María Alcántara; Morı́s, César

doi:10.1016/s1885-5857(08)60007-9

Cited by 20 publications

(11 citation statements)

References 22 publications

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“…The association of postoperative renal dysfunction and an increase in hospital mortality was observed in the series of Melby et al19, Urso et al21 and Calvo et al 22 as well as in our series. Also in the series of Melby et al 19 , the use of intraaortic balloon was a predictor of mortality.…”

Section: Discussionsupporting

confidence: 86%

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Morbimortalidade em pacientes acima de 75 anos submetidos à cirurgia por estenose valvar aórtica

Valle¹,

Costa²,

Pereira³

et al. 2010

Arq. Bras. Cardiol.

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Section: Discussionsupporting

confidence: 86%

“…In a study by Alves Júnior et al 23 a higher probability of postoperative bleeding was observed in elderly patients undergoing cardiac surgery. In the series of Calvo et al 22 as well as in ours, reoperation for bleeding was identified as a predictor of hospital mortality.…”

Section: Discussionsupporting

confidence: 60%

Morbimortalidade em pacientes acima de 75 anos submetidos à cirurgia por estenose valvar aórtica

Valle¹,

Costa²,

Pereira³

et al. 2010

Arq. Bras. Cardiol.

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“…Sundt et al (18) reported a 4% risk of stroke among 133 patients with AVR; 67% had an AVR-CABG and 11.3% had concomitant mitral valve replacement or repair. A single-center experience with AVR in octogenarians (28% with concomitant CABG) reported strokes in 5.8% (6 of 104) (19), and Alexander et al (20) observed a 4.9% incidence (17 of 345) of stroke after AVR-CABG among octogenarians.…”

Section: Stroke In Surgical Avr Patientsmentioning

confidence: 99%

Stroke Associated With Surgical and Transcatheter Treatment of Aortic Stenosis

Daneault

Kirtane

Kodali

et al. 2011

Journal of the American College of Cardiology

148

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Stroke is a potential complication of treating patients with aortic stenosis via surgical aortic valve replacement (AVR), transcatheter aortic valve replacement (TAVR), and balloon aortic valvuloplasty. Because there are limited and heterogeneous data on the incidence, risk factors, and outcomes of stroke among patients being treated for aortic stenosis, we performed a comprehensive review of the literature. The risk of stroke after AVR in the general population is approximately 1.5%, and the risk is increased (to approximately 2% to 4%) in older and higher-risk patients. Strokes were reported in 1.5% to 6% of patients treated with TAVR, and in the only randomized trial of AVR versus TAVR, there was an increased risk of 30-day strokes (minor and major strokes and transient ischemic attacks) with TAVR (5.5% vs. 2.4%, p = 0.04).

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“…Aging is not synonymous with illness or disability; however, a significant percentage of elderly will develop severe illness and become dependent on others [14][15][16]. According to the Spanish National Institute of Statistic (INE), 5.34% of the Spanish population is greater than 80 years of age [17].…”

Section: Discussionmentioning

confidence: 99%

“…In the Shapira series, 78% of patients described their health as good [18], and Huber reported that 72% of patients were free of pain or angina symptoms [19]. Calvo found that 76.3% of patients remained in NYHA functional class I-IV after intervention [14].…”

Section: Discussionmentioning

confidence: 99%

Quality of Life in Octogenarians Undergoing Surgical Aortic Valve Replacement

Díaz¹,

Cubero²

2015

J Clin Exp Cardiolog

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Objective: The assessment of quality of life in the elderly should be considered when analysing the benefits of any therapeutic intervention. The aim was to analyse the quality of life in octogenarians undergoing surgical aortic valve replacement. Methods: We conducted an observational and descriptive study from January 2006 to July 2008. One-hundredthree Caucasians patients over 80 years of age undergoing aortic-valve replacement were followed-up. Three successive telephone interviews were conducted using the EuroQol-5D questionnaire. The first was made in August 2009, the second in February 2011 and the third in February 2013. An age and gender matched group of 166 people served as controls. Categorical variables were compared using McNemar's test. Continuous variables were analysed using Student's test. Comparisons with the control group were performed using Student's t-test. A Chisquared test was used to identify the profile of patients who benefitted most from surgery. Results: Significant differences were observed in the areas of mobility, usual activities and pain. A significant improvement was also observed in the VAS and the EQ-5D index. Compared with controls, significant improvement in VAS score was observed in females, and this difference was maintained at the final survey. Patients had significantly lower EQ-5 D indices than controls. Conclusion: We conclude that aortic valve replacement leads to a significant improvement in subjective quality of life. However, this improvement was not evident for objective health items. Thus, patients remain different from controls in terms of VAS and the EQ-5D index scores.

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Aortic Valve Replacement in Octogenarians With Severe Aortic Stenosis. Experience in a Series of Consecutive Patients at a Single Center

Cited by 20 publications

References 22 publications

Morbimortalidade em pacientes acima de 75 anos submetidos à cirurgia por estenose valvar aórtica

Morbimortalidade em pacientes acima de 75 anos submetidos à cirurgia por estenose valvar aórtica

Stroke Associated With Surgical and Transcatheter Treatment of Aortic Stenosis

Quality of Life in Octogenarians Undergoing Surgical Aortic Valve Replacement

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