Valve surgery in octogenarians: In-hospital and long-term outcomes

Outcome after valve surgery in octogenarians and efficacy of early mobilization with early cardiac rehabilitation

“…The recent reports of isolated AVR in octogenarians revealed a hospital mortality of 7.5%-13.0% and a 5-year survival rate of 61.0%-73.2%. 1-3 Bossone et al 9 reported a hospital mortality rate of 9.7% among 307 octogenarians who underwent various sorts of valve surgery, including 134 patients with isolated AVR. However, concomitant aortic and mitral valve surgery are associated with high hospital mortality compared to that of single-valve surgery.…”

“…Although transcatheter aortic valve implantation (TAVI) for severe aortic stenosis has begun to be introduced lately to patients with excessive risk and advanced age, [6][7][8] surgery is an effective therapeutic option for selected symptomatic elderly patients with good long-term survival and improved functional class. 9 It is crucial for the selection of candidates to undergo the evolving TAVI procedure 10,11 ; however, operative complications and hospital mortality have not been thoroughly investigated in unselected octogenarians undergoing valve surgery.…”

Transcatheter Aortic Valve Implantation for the Treatment of Severe Symptomatic Aortic Stenosis in Patients at Very High or Prohibitive Surgical Risk

“…Our findings highlight the relevance of both an accurate diagnostic and prognostic evaluation of the patients' respiratory status before performing TAVI and a close follow-up of COPD patients so that acute exacerbations can be reduced (18). Several studies have shown that CKD is an independent predictor of late mortality after SAVR in elderly patients (17,19,20), and Webb et al (9) recently reported that this comorbidity was also a predictor of worse outcomes in patients undergoing TAVI. The mechanisms linking CKD and late mortality in our study population were probably multifactorial (21).…”

Long-Term Quality of Life after Cardiac and Thoracic Aortic Surgery for Very Elderly Patients 85 Years or Older

“…According to various researchers, early death occurs in 13.3% to 25% of all patients 80 years or older who undergo MV surgery. 1,2,15,16) Fortunately, no early mortality occurred in our 4 patients after the surgical procedure including MV surgery.…”

“…Thus, postsurgical quality of life (QOL) and activities of daily living (ADL) have received increased attention in recent years. [15][16][17][18][19] For patients at extremely high risk in whom aortic valve replacement (AVR) is difficult to perform, minimally invasive trans-catheter aortic valve implantation is now available, and treatment strategies have been carefully evaluated and selected.…”