Valve Replacement in the Elderly: Operative Risk and Early Postoperative Results
From the opening of our institution in November 1984 to December 1986, 2770 open heart procedures for congenital and acquired heart disease have been performed. There were 680 patients who had valve replacement; isolated or in combination with other operations, i.e., myocardial revascularization, thromboendarterec-tomy of carotid artery [TEA]. Of these, 182 patients (69 male and 113 female) were between 66 and 82 years of age (mean age 71.3 years). Early mortality (within 30 days postoperation) was 3.1% (2 patients). Eight patients have required reoperation. It is our policy to use bioprostheses in patients of more than 65 years of age, except in those who are on anticoagulation for special reasons. Nevertheless, all patients have anticoagulant therapy for at least 3 months postoperatively. Operative risk and rate of perioperative complications in this age group are similar to those in younger patients. Thus, older patients with good motivation, a desire for an improved lifestyle, in good mental status, and with no other major disease are good candidates for valve replacement and additional procedures if necessary.
KeywordsValve Replacement Aortic Valve Replacement Mitral Valve Replacement Mechanical Valve Myocardial Revascularization
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