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Ann Thorac Surg 1977;24:417-421
© 1977 The Society of Thoracic Surgeons

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Articles

Valve Replacement in Patients Over 70 Years

Cardiac Surgical Unit and Cardiology Center, Tampa General Hospital, and the Department of Thoracic and Cardiovascular Surgery, University of South Florida College of Medicine, Tampa, FL.

^* Address reprint requests to Dr. Bessone, One Davis Blvd, Tampa, FL 33606

From July, 1972, to April, 1976, 54 consecutive patients over the age of 70 years underwent valve replacement at Tampa General Hospital. Twenty-one patients had isolated aortic valve replacement (Group 1), 14 had isolated mitral valve replacement (Group 2), and 19 had combined procedures that included at least 1 valve replacement (Group 3).

There was 1 operative death (in Group 1), and another patient (Group 3) died three weeks postoperatively, resulting in an early mortality of 3.7%. Follow-up of the 52 hospital survivors from one to forty-one months reveals 2 additional deaths for a late mortality of 3.8%. Cardiac status improved noticeably in the surviving 50 patients. The data suggests that with current techniques, complex intracardiac procedures can be performed safely with acceptable operative mortality and a satisfactory prognostic outlook in elderly patients.

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