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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
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