Aortic Valve Replacement in Patients 75 Years and Over

  • B. Blakeman
  • A. Montoya
  • H. Sullivan
  • M. Bakhos
  • J. Grieco
  • B. Foy
  • R. Pifarre


A select group of 65 patients in the eighth decade of life who had aortic valvular replacement (AVR) from 1915 through 1984 were retrospectively studied. Preoperatively, 58 of the 65 patients were in New York Heart Association (NYHA) Class III or IV. This group included isolated A VR cases (26 patients) and A VR with concomitant procedures (39 patients). Perioperative mortality (30 days) was 1.5% and perioperative morbidity (62%) involved 54 complications in 40 patients. Long-term follow-up was available for 55 patients, including 40 survivors. Thirty-eight of 40 medium-term survivors (12%) are now in NYHA Class I or II. Perioperative mortality and improved quality of life support aortic valve replacement in this older population.


Valve Replacement Aortic Stenosis Aortic Valve Replacement Aortic Valve Disease Prosthetic Valve Endocarditis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Arom KV, Nicoloff DM, Lindsay WG, Northrup WF, Kersten TE. Should valve replacement and related procedures be performed in elderly patients? Ann Thor Surg 1984; 38:466.CrossRefGoogle Scholar
  2. 2.
    Teply JF, Grunkemeier GL, Starr A. Cardiac valve replacement in patients over 75 years of age. Thor CV Surgeon 1981; 29:47.CrossRefGoogle Scholar
  3. 3.
    Craver JM, Goldstein J, Jones EL, Knapp WA, hatcher CR. Clinical, hemodynamic, and operative descriptors affecting outcome of aortic valve replacement in elderly versus young patients. Ann Surg 1984; 199:733.PubMedCrossRefGoogle Scholar
  4. 4.
    Glock Y, Pecoul R, Cerene A, Laquerre J, Puel P. Aortic valve replacement in elderly patients. J Cardiovasc Surg 1984; 25:205.Google Scholar
  5. 5.
    Santinga JT, Flora J, Kirsh M, Baublis J. Aortic valve replacement in the elderly. J Am Geriat Soc 1983; 31:211.PubMedGoogle Scholar
  6. 6.
    Carlson RG, Shafer RB, Eliot RS, Sellers RD, Lillehei CW. Results of cardiac surgery in 273 older patients. Geriatrics 1967; 22:173.PubMedGoogle Scholar
  7. 7.
    Spencer FC, Trinkle JK, Eiseman B, Reeves JT, Surawicz B. Aortic valve replacement in elderly patients with cardiac failure. JAMA 1964; 189:103.PubMedCrossRefGoogle Scholar
  8. 8.
    Bhattacharya SK, Teskey JM, Cohen M, Kim SW, Barwinsky J. Risks and benefits of open-heart surgery in patients 70 years of age and older. Can J of Surg 1984; 27:150.Google Scholar
  9. 9.
    Canepa-Anson R, Emanuel RW. Elective aortic and mitral valve surgery in patients over 70 years of age. Br Heart J 1979; 41:493.PubMedCrossRefGoogle Scholar
  10. 10.
    Austen WG, DeSanctis RW, Buckley MJ, Mundth ED, Scamell JG. Surgical management of aortic valve disease in the elderly. JAMA 1970; 211:624.PubMedCrossRefGoogle Scholar
  11. 11.
    DeBono AH, English TA, Milstein BB. Heart valve replacement in the elderly. Br Med J 1978; 2:917.CrossRefGoogle Scholar
  12. 12.
    Bessone LN, Pupello DF, Blank RH, Harrison EE, Sbar S. Valve replacement in patients over 70 years. Ann Thorac Surg 1977; 24:417.PubMedCrossRefGoogle Scholar
  13. 13.
    Hildner FJ, Linhart JW, Samet P, Piccinini J, et al. Clinical and hemodynamic comparisons of valve replacement in patients over and under age 60. Ann Thorac Surg 1969; 7:438.PubMedCrossRefGoogle Scholar
  14. 14.
    Ahmad A, Starr A. Valve replacement in geriatric patients. Br Heart J 1969; 31:322.PubMedCrossRefGoogle Scholar
  15. 15.
    Commerford PJ, Curcio A, Albanese M, Beck W. Aortic valve replacement in the elderly. SA Med J 1981; 27:975.Google Scholar
  16. 16.
    Bergdahl L, Björk VO, Jonasson R. Aortic valve replacement in patients over 70 years. Scand J Thorac Cardiovasc Surg 1981; 15:123.PubMedCrossRefGoogle Scholar
  17. 17.
    Oh W, Hickman R, Emmanuel R, McDonald L, et al. Heart valve surgery in 114 patients over age of 60. Br Heart J 1973; 35:174.PubMedCrossRefGoogle Scholar
  18. 18.
    Gann D, Colin C, Hildner FJ, Samet P, et al. Coronary artery bypass surgery in patients seventy years of age and older. Thorac Cardiovasc Surg 1977; 73:237.Google Scholar
  19. 19.
    Copeland JG, Griepp RB, Stinson EB, Shumway NE. Isolated aortic valve replacement in patients older than 65 years. JAMA 1977; 237:1578.PubMedCrossRefGoogle Scholar
  20. 20.
    Ross J, Braunwald E. Aortic stenosis. Circulation 1968; 38(Suppl 5):61.PubMedGoogle Scholar
  21. 21.
    Rothman M, Morris JJ, Behar VS, et al. Aortic valvular disease: Comparison of types and their medical and surgical management. Am J Med 1968; 51:241.CrossRefGoogle Scholar
  22. 22.
    Frank S, Ross J. Natural history of severe acquired valvular aortic stenosis. Am J Cardiol 1967; 19:128.CrossRefGoogle Scholar

Copyright information

© Kluwer Academic Publishers 1989

Authors and Affiliations

  • B. Blakeman
  • A. Montoya
  • H. Sullivan
  • M. Bakhos
  • J. Grieco
  • B. Foy
  • R. Pifarre

There are no affiliations available

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