Key result
Elective valve surgery in older adults is associated with ~10% operative mortality and good functional recovery.
Why the study?
Does elective aortic and mitral valve surgery improve survival and functional class in patients over 70 years of age?
Observational (n=29)
Does elective aortic and mitral valve surgery improve survival and functional class in patients over 70 years of age?
Answers are grounded in this paper and cite their sources.
Elective aortic and mitral valve surgery in patients over 70 years of age carries acceptable mortality and significantly improves functional status.
The results of elective cardiac surgery carried out between 1970 and 1975 on 29 patients over 70 years of age are reported. Operative mortality was 10%, late cardiac mortality 14%, with 72% survival at a mean follow-up of 38.6 months. Before operation 96% were in functional classes 3 and 4. After operation 90.5% of late survivors were in functional classes 1 and 2 at a mean follow-up of 43.5 months. These results compare favourably with those in younger patients. Complication rate and length of hospital stay were unremarkable. The risks of neurological damage and of long-term anticoagulation are not increased. Emergency surgery carries a very high risk in this age group. The importance of biological youth and good left ventricular function is emphasised. For aortic stenosis at least prognosis is improved by surgery.
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Canepa‐Anson et al. (1979) conducted an observational in Aortic and mitral valve disease (n=29). Elective aortic and mitral valve surgery was evaluated on Operative mortality. Elective cardiac surgery in patients over 70 years of age was associated with 10% operative mortality and 72% survival at 38.6 months, with 90.5% of survivors in functional class 1 or 2.
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