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The Annals of Thoracic Surgery, Vol 24, 417-421, Copyright © 1977 by The Society of Thoracic Surgeons

ARTICLES

Valve replacement in patients over 70 years

LN Bessone, DF Pupello, RH Blank, EE Harrison and S Sbar

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 post-operatively, 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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