ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Luis N. Bessone
Enrique Lopez-Cuenca
George Ebra
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bessone, L. N.
Right arrow Articles by Ebra, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bessone, L. N.
Right arrow Articles by Ebra, G.

Ann Thorac Surg 1988;46:264-269
© 1988 The Society of Thoracic Surgeons

Articles

Surgical Management of Aortic Valve Disease in the Elderly: A Longitudinal Analysis

Luis N. Bessone, M.D.*, Dennis F. Pupello, M.D., Stephen P. Hiro, M.D., Enrique Lopez-Cuenca, M.D., M.S. Glatterer, Jr., M.D., George Ebra, Ed.D.

From the Cardiac Surgical Unit, St. Joseph's Heart Institute, Tampa, FL

* Address reprint requests to Dr. Bessone, 2727 W Buffalo Ave, Suite 700, Tampa, FL 33607.

From November, 1972, through December, 1986, 219 consecutive patients 70 years of age and older with aortic stenosis (AS) underwent aortic valve replacement. One hundred seven of them had isolated pure AS, and 112 had AS and coronary artery disease (AS + CAD). The mean age of the AS group was 75.4 years (range, 70 to 88 years) and of the AS + CAD group, 74.8 years (range, 70 to 86 years). The mean aortic valve gradient in the AS group was 87.7 ± 30.6 mm Hg and in the AS + CAD group, 68.0 ± 51.3 mm Hg (p < 0.001). Hospital mortality for the AS group was 12.1% (13 patients) and for the AS + CAD group, 8.9% (10 patients). The long-term survival at seven years was 77.2 ± 5.5% (± the standard error of the mean) for the AS group and 57.0 ± 6.9% for the AS + CAD group (p < 0.006). Postoperative assessment reveals substantial functional improvement. These early and long-term favorable results provide a much needed reference point when valvuloplasty is being considered. Aortic valve replacement is the treatment of choice in elderly patients with symptomatic AS.




This article has been cited by other articles:


Home page
 ANGIOLOGYHome page
D. J. Miller, L. E. Samuels, M. S. Kaufman, R. J. Morris, M. P. Thomas, and S. K. Brockman
Coronary Artery Bypass Surgery in Nonagenarians
Angiology, August 1, 1999; 50(8): 613 - 617.
[Abstract] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
E. Weinschelbaum, P. Stutzbach, M. Oliva, J. Zaidman, A. Torino, and E. Gabe
MANUAL DEBRIDEMENT OF THE AORTIC VALVE IN ELDERLY PATIENTS WITH DEGENERATIVE AORTIC STENOSIS
J. Thorac. Cardiovasc. Surg., June 1, 1999; 117(6): 1157 - 1165.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
S. Westaby, X. Y. Jin, T. Katsumata, A. Arifi, and P. Braidley
Valve replacement with a stentless bioprosthesis: Versatility of theporcine aortic root
J. Thorac. Cardiovasc. Surg., September 1, 1998; 116(3): 477 - 481.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
M. Kirsch, L. Guesnier, P. LeBesnerais, M.-L. Hillion, M. Debauchez, J. Seguin, and D. Y. Loisance
Cardiac operations in octogenarians: perioperative risk factors for death and impaired autonomy
Ann. Thorac. Surg., July 1, 1998; 66(1): 60 - 67.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. H. Burr, W. R. Eric Jamieson, A. Ian Munro, R. T. Miyagishima, and E. Germann
Porcine bioprostheses in the elderly: Clinical performance by age groups and valve positions
Ann. Thorac. Surg., August 1, 1995; 60(suppl_2): S264 - S269.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T.-P. Tsai, A. Chaux, J. M. Matloff, R. M. Kass, R. J. Gray, M. A. DeRobertis, and S. S. Khan
Ten-year experience of cardiac surgery in patients aged 80 years and over
Ann. Thorac. Surg., August 1, 1994; 58(2): 445 - 450.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. S. Naunheim, J. Hanosh, J. Zwischenberger, M. W. Turrentine, K. A. Kesler, L. B. Reeder, M. K. Ferguson, and A. E. Baue
Esophagectomy in the septuagenarian
Ann. Thorac. Surg., October 1, 1993; 56(4): 880 - 884.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
E. A. Davis, T. J. Gardner, A. M. Gillinov, W. A. Baumgartner, D. E. Cameron, V. L. Gott, R. S. Stuart, L. Watkins, and B. A. Reitz
Valvular disease in the elderly: Influence on surgical results
Ann. Thorac. Surg., February 1, 1993; 55(2): 333 - 338.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. S. Naunheim, K. A. Kesler, S. A. D'Orazio, A. C. Fiore, L. R. McBride, and D. R. Judd
Thoracotomy in the octogenarian
Ann. Thorac. Surg., April 1, 1991; 51(4): 547 - 551.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. G. Johnson, J. S. Dhillon, R. L. Thurer, R. D. Safian, and R. M. Weintraub
Aortic valve operation after percutaneous aortic balloon valvuloplasty
Ann. Thorac. Surg., May 1, 1990; 49(5): 740 - 745.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. C. Galloway, S. B. Colvin, E. A. Grossi, F. G. Baumann, Y. P. Sabban, R. Esposito, G. H. Ribakove, A. T. Culliford, J. N. Slater, E. Glassman, et al.
Ten-year experience with aortic valve replacement in 482 patients 70 years of age or older: Operative risk and long-term results
Ann. Thorac. Surg., January 1, 1990; 49(1): 84 - 93.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1988 by The Society of Thoracic Surgeons.