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Ann Thorac Surg 2008;85:1301-1302. doi:10.1016/j.athoracsur.2008.01.045
© 2008 The Society of Thoracic Surgeons

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Original Articles: Adult Cardiac

Invited Commentary

David B. Ross, MD

University of Alberta Hospital, 2D4.37 Walter MacKenzie Health Sciences Centre, 8440 112th St, Edmonton, AB, Canada T6G 2B7

(Email: dbross@cha.ab.ca).

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

de Vincentiis and colleagues [1] present a report on a retrospective series of 345 patients greater than 80 years of age who underwent aortic valve replacement. The operative mortality is low (7.5%) considering that more than half of these patients underwent concomitant other cardiac procedures and the postoperative quality of life was excellent for the survivors; perhaps a bit too good, because it is difficult to believe that 96% were in New York Heart Association functional class I or II for patients in this age range. Nevertheless, the authors do provide Short Form-36 data.

A strength of this article is that it is a large series with 100% follow-up.

The controversial aspect of this article is that the authors found that 42% of patients received a mechanical valve with statistically superior survival in comparison with those who received . . . [Full Text of this Article]


Related Article

Aortic Valve Replacement in Octogenarians: Is Biologic Valve the Unique Solution?
Carlo de Vincentiis, Alessia B. Kunkl, Santi Trimarchi, Piervincenzo Gagliardotto, Alessandro Frigiola, Lorenzo Menicanti, and Marisa Di Donato
Ann. Thorac. Surg. 2008 85: 1296-1301. [Abstract] [Full Text] [PDF]






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