Aortic valve surgery in octogenarians: predictive factors for operative and long-term results
Population
220 consecutive octogenarians undergoing aortic valve surgery between 1992 and 2004, including 65% in NYHA…
Design
Cohort
Follow-up
mean 58.2 months
Authors
Discussion
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Member takes
Implication
May inform risk discussions for AVR in octogenarians; extends observational data but should not yet change practice.
Structured PICO
P
Population
220 consecutive octogenarians (mean age 82.8 years, 174 females) undergoing aortic valve surgery (AVR) between 1992 and 2004, including 65% in NYHA class III-IV and 20% undergoing urgent procedures.
I
Intervention
Aortic valve surgery (AVR), with or without concomitant coronary artery bypass grafting (CABG).
O
Outcome
Operative mortality and long-term survivalhard clinical
Aortic valve surgery in octogenarians can be performed with acceptable mortality and excellent long-term survival, though urgent procedures and concomitant CABG significantly increase operative risk.
Cite This Study
Kolh et al. (2007) studied this question.