Key result
Isolated aortic valve replacement in octogenarians resulted in 3.6% 30-day mortality compared to 12.2% when combined with myocardial revascularization (ns).
Why the study?
What are the perioperative and mid-term outcomes of aortic valve replacement with or without myocardial revascularization in octogenarians with severe aortic stenosis?
Cohort (n=96)
No
What are the perioperative and mid-term outcomes of aortic valve replacement with or without myocardial revascularization in octogenarians with severe aortic stenosis?
Aortic valve replacement in octogenarians with severe aortic stenosis is associated with acceptable perioperative mortality and excellent mid-term functional outcomes.
Combined AVR-CABG may increase perioperative mortality in octogenarians; leaves open optimal strategy without randomized data.
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Pipkin et al. (2014) conducted a cohort in Severe degenerative aortic valve stenosis (n=96). Isolated aortic valve replacement vs. Aortic valve replacement with myocardial revascularization was evaluated on 30-day mortality (p=ns). Isolated aortic valve replacement in octogenarians resulted in 3.6% 30-day mortality compared to 12.2% when combined with myocardial revascularization (ns).
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