Emergency aortic valve replacement in critically ill patients resulted in a 70% hospital survival rate and 61% overall survival at an average follow-up of 9 months.
Observational (n=23)
Does emergency aortic valve replacement improve survival in patients critically ill from aortic valvular disease?
Emergency aortic valve replacement can be a successful life-saving measure in critically ill patients, yielding a 70% hospital survival rate.
Twenty-three patients critically ill from aortic valvular disease underwent emergency aortic valve replacement as a life-saving measure. Sixteen patients (70%) survived hospitalization and 14 (61%) are presently living. Of eighteen patients who underwent solitary aortic valve replacement, there were four hospital deaths and two late deaths. Five patients required double valve surgery, with three hospital deaths and no late deaths. The survivors often had dramatic improvement and have done well during an average follow-up period of 9 months. The major factor contributing to mortality after surgery was irreversible myocardial damage particularly evident in patients with longstanding severe valvular disease. Valve replacement can be successfully accomplished in patients critically ill with aortic valve disease, especially if it occurs as an isolated lesion.
Hutter et al. (1970) conducted an observational in Aortic valvular disease (n=23). Emergency aortic valve replacement was evaluated on Hospital survival. Emergency aortic valve replacement in critically ill patients resulted in a 70% hospital survival rate and 61% overall survival at an average follow-up of 9 months.