Key result
AVR in patients aged 85-91 yields ~85% one-year survival with improved symptoms and QoL.
Why the study?
Does aortic valve replacement improve survival and quality of life in patients older than 85 years with symptomatic aortic stenosis?
Population
21 patients with symptomatic aortic stenosis, aged 85-91 years, all categorized as NYHA functional class III…
Design
Case_series
Follow-up
9-83 months
Authors
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May support individualized decisions in symptomatic patients over 85; leaves open need for randomized data versus TAVR.
Cohort (n=21)
Does aortic valve replacement improve survival and quality of life in patients older than 85 years with symptomatic aortic stenosis?
Aortic valve replacement in highly symptomatic patients over 85 years old is feasible and associated with improved survival and quality of life, though concomitant CABG increases early mortality risk.
Levin et al. (1998) conducted a cohort in symptomatic aortic stenosis (n=21). Aortic valve replacement was evaluated on 1-year actuarial survival rate. Aortic valve replacement in patients aged 85-91 years yielded 1-, 2-, and 3-year survival rates of 85%, 64%, and 53%, respectively, with significant improvements in symptoms and quality of life.
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