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The Annals of Thoracic Surgery, Vol 44, 637-639, Copyright © 1987 by The Society of Thoracic Surgeons
BM Blakeman, R Pifarre, HJ Sullivan, A Montoya, M Bakhos, JG Grieco and BK Foy
A consecutive group of 100 patients in the eighth decade of life who had
aortic valve replacement (AVR) from 1975 through 1986 were retrospectively
studied. Eighty-five of them were in New York Heart Association (NYHA)
Functional Class III or IV. Isolated AVR was performed in 44 patients and
AVR with concomitant procedures, in 56. Perioperative mortality (30 days)
was 3%, and perioperative morbidity included 83 complications in 60
patients. Long-term follow-up was available on 93 patients, 71 of whom were
alive and 22 of whom were dead. Sixty-eight of the 71 long-term survivors
are now in NYHA Class I or II. The low rate of perioperative mortality and
the improved quality of life after AVR support the performance of this
procedure in this older population.
ARTICLES
Aortic valve replacement in patients 75 years old and older
Department of Thoracic and Cardiovascular Surgery, Loyola University Medical Center, Maywood, IL 60153.
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