Key result
Surgical aortic valve replacement in octogenarians was associated with 0% 30-day mortality, 3.6% 1-year mortality, and improved quality of life in 76.5% of survivors at a median of 22 months.
Why the study?
The increasing effectiveness of transcatheter aortic valve implantation justifies a renewed evaluation of survival rate and quality of life after SAVR in elderly patients.
Does isolated surgical aortic valve replacement improve quality of life and survival in octogenarians?
Comparison
Isolated SAVR
Design
Retrospective observational and descriptive study
Follow-up
Median 22-month follow-up time
Authors
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Supports SAVR consideration in selected octogenarians; leaves open randomized trials versus TAVR.
Observational (n=84)
No
Does isolated surgical aortic valve replacement improve quality of life and survival in octogenarians?
Surgical aortic valve replacement in octogenarians is associated with very low mortality and significant improvements in quality of life, suggesting age alone should not preclude surgical intervention.
Gavalaki et al. (2019) conducted an observational in Aortic stenosis (n=84). Surgical aortic valve replacement (SAVR) was evaluated on Quality of life (QoL) improvement. Surgical aortic valve replacement in octogenarians was associated with 0% 30-day mortality, 3.6% 1-year mortality, and improved quality of life in 76.5% of survivors at a median of 22 months.
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