Aortic valve replacement can be successfully performed in a 90-year-old patient with severe aortic stenosis, leading to independent ambulation at discharge despite postoperative muscle weakness.
Supports AVR feasibility in selected nonagenarians; leaves open generalizability without prospective data.
国内での 90 歳代の患者に対する心臓手術は極めてまれであるが，海外の報告でもその死亡率，合併症発生率は高いといわれている．今回，重度大動脈弁狭窄症の 90 歳の患者に対し，大動脈弁置換術を行い，良好な結果を得た症例を経験したので報告する．呼吸困難を主訴に緊急入院し，重度大動脈弁狭窄症と診断された．うっ血性心不全治療後に大動脈弁置換術を行ったが，術後，下肢の筋力低下を認めたものの，リハビリにより独歩退院できた．
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Sezai et al. (2011) studied this question.
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