 |
|
Surgical Management of Aortic Valve Disease in the Elderly
W. Gerald Austen, MD;
Roman W. DeSanctis, MD;
Mortimer J. Buckley, MD;
Eldred D. Mundth, MD;
J. Gordon Scannell, MD
JAMA. 1970;211(4):624-626.
Abstract
Forty patients over the age of 70 years, with an average age of 74.6 years, have undergone aortic valve surgery at the Massachusetts General Hospital in the past eight years. Thirty-eight patients had calcific aortic stenosis, and two had aortic insufficiency. Debridement of the aortic valve was performed early in our experience in the surgical treatment of aortic stenosis in four patients, three of whom survived. Two of these patients as well as the other thirty-six underwent prosthetic aortic valve replacement. In this group of 40 patients, 32 of whom were in cardiac class IV, there were eight hospital deaths (20%) and three late deaths (7.5%). The 29 survivors are all much improved, and some spectacularly so. These results justify an aggressive approach to aortic valve replacement in the elderly, if the patient's general status warrants it.
Author Affiliations
From the departments of surgery and medicine, Harvard Medical School and the departments of surgery and medicine, Massachusetts General Hospital, Boston.
Footnotes
Reprint requests to 32 Fruit St, Boston 02114 (Dr. Austen).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Open-Heart Surgery in Patients Over Sixty Years of Age
Morishita et al.
VASC ENDOVASCULAR SURG 1989;23:1-7.
ABSTRACT
Aortic Valve Replacement in the Elderly: Encouraging Postoperative Clinical and Hemodynamic Results
Hochberg et al.
Arch Surg 1977;112:1475-1480.
ABSTRACT
Isolated Aortic Valve Replacement in Patients Older Than 65 Years
Copeland et al.
JAMA 1977;237:1578-1581.
ABSTRACT
Coronary Artery Disease: Surgery in 100 Patients 65 Years of Age and Older
Ashor et al.
Arch Surg 1973;107:30-33.
ABSTRACT
Open-Heart Valve Surgery in Patients 65 and Older
Guthrie et al.
Arch Surg 1972;105:42-43.
ABSTRACT
|
