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Ann Thorac Surg 2007;84:465-466
© 2007 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Invited commentary

Robert Poston, MD

Department of Surgery, Division of Cardiac Surgery, University of Maryland, N4W94 22 S Greene St, Baltimore, MD 21201

(Email: rposton@smail.umaryland.edu).

The first 20% of the full text of this article appears below.

The decision to implant a bioprosthetic in patients older than 65 to 70 years of age is based on the premise that the risk of anticoagulation-related complications exceeds the risk of future valve deterioration. Improvements in valve design, a more sedentary lifestyle, and limited life expectancy after surgery suggest that the risk of needing a reoperation for valve deterioration is low in the elderly.

The excellent outcomes for patients older than 70 years of age, given mechanical valves as demonstrated by Vicchio and colleagues [1], challenge this standard of care. Greater than 70% of their patients were alive at 15 years, . . . [Full Text of this Article]


Related Article

Quality of Life After Implantation of Bileaflet Prostheses in Elderly Patients: An Anticoagulation Work Group Experience
Mariano Vicchio, Alessandro Della Corte, Marisa De Feo, Giuseppe Santarpino, Luca S. De Santo, Gianpaolo Romano, Giuseppe Caianiello, Michelangelo Scardone, and Maurizio Cotrufo
Ann. Thorac. Surg. 2007 84: 459-465. [Abstract] [Full Text] [PDF]





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