Objective:Transcatheter aortic valve implantation has recently been used in the
treatment of severe aortic valve stenosis, particularly in patients with
high mortality and morbidity rates for open surgery. The purpose of this
study was to compare quality of life in patients over 70 years of age
undergoing surgical or transcatheter aortic valve implantation, before the
procedure and in the early post-procedural period.Methods:Seventy-nine patients were included in the study, 38 (48.1%) male and 41
(51.9%) female. Mean age of patients was 74.3±5.2 (70-91) years. The
surgical aortic valve replacement group consisted of 51 (64.6%) patients and
the transcatheter aortic valve replacement group of 28 (35.4%). Quality of
life data before the procedure and at the 3rd month
postoperatively in patients aged 70 years and older undergoing surgical or
transcatheter aortic valve implantation were assessed using the 36-item
Short Form Health Survey form.Results:Positive increases in physical task difficulty (13.2±9.8
vs. 5.1±7.3) (P=0.001),
emotional task difficulty (14.4±11.9 vs.
8.5±6.4) (P=0.035), and mental health
(0.4±10.4 vs. 9.6±15.1)
(P=0.001; P<0.01) scores in patients
undergoing transcatheter aortic valve replacement were significantly higher
compared to the surgical aortic valve replacement group. No statistically
significant difference was determined between the groups in terms of pain,
vitality, social function, physical function or general health scores in the
preoperative and postoperative periods.Conclusion:The positive increase in quality of life parameters in the transcatheter
aortic valve implantation group at the 3rd month postoperatively
was significantly higher compared to the surgical aortic valve replacement
group.