Key result
Starr-Edwards valve replacement appears safe in geriatric patients with advanced valvular heart disease.
Why the study?
Valve replacement is commonly performed but carries added risk in older patients, necessitating evaluation of outcomes in patients aged 60 and above with advanced valvular heart disease.
Is valve replacement safe and effective in geriatric patients aged 60 and above with advanced valvular heart disease?
Population
91 patients aged 60 or above with advanced valvular heart disease (NYHA III and IV)
Comparison
Valve replacement using Starr-Edwards prosthesis (aortic, mitral, or multiple)
Design
Observational case series at University of Oregon Medical School
Authors
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Supports feasibility in selected geriatric patients; hypothesis-generating and should not yet change practice.
Observational (n=91)
No
Is valve replacement safe and effective in geriatric patients aged 60 and above with advanced valvular heart disease?
Valve replacement with the Starr-Edwards prosthesis can be safely performed in selected geriatric patients with advanced valvular heart disease.
Albert Starr (1969) conducted an observational in Advanced valvular heart disease (n=91). Valve replacement was evaluated on Operative mortality, post-operative course, and late results. Valve replacement using the Starr-Edwards prosthesis was safely performed in 91 geriatric patients aged 60 to 75 years with advanced valvular heart disease.
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