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Clinical outcomes of cardiac valve replacement in octogenarians

MAO Jian-qiang1,2, ZHUANG Yu2, FAN Yong-liang2, YUAN Zhong-xiang2, LÜ Zhi-qian1   

  1. 1.Department of Cardiothoracic Surgery, the Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200233, China; 2.Department of Cardiovascular Surgery, the First People's Hospital, Shanghai Jiaotong University, Shanghai 200080, China
  • Online:2013-10-28 Published:2013-10-31


Objective To summarize the clinical outcomes and experience in perioperative management in octogenarians undergoing cardiac valve replacement. Methods Fifty-six octogenarians underwent heart valve replacement with hypothermia and cardiopulmonary bypass, and the surgical outcomes, complications and followup findings were analyzed. Results Among the 56 patients, 4 died early after operation, and 52 (92.9%) discharged. There were 23 cases of complications, including respiratory failure, renal failure, ventricular arrhythmia, pleural effusion and pericardial effusion. Forty-two patients were followed up for more than 2 years, there were 31 patients with gradeⅡ of cardiac function and 11 patients with grade Ⅲ of cardiac function 2 years after operation, and the left atrial diameter was significantly smaller and the pulmonary arterial pressure was significantly lower 2 years after operation than those before operation (P<0.05). Conclusion With appropriate timing of operation and proper perioperative management, cardiac valve replacement may be feasible for octogenarians with cardiac valvular

Key words: octogenarians, cardiac valvular disease, valve replacement, clinical outcomes