Valvular surgery in octogenarians: operative risks factors, evaluation of Euroscore and long term results

Abstract

Valvular surgery in octogenarians is a safe and low risk procedure compared to functional benefit and long-term survival. Our data how that logistic Euroscore overestimates the mortality in this high-risk group of patients.

Aortic valve surgery in octogenarians: predictive factors for operative and long-term results

“…Multivariate logistic regression analysis showed that the only preoperative risk factors associated with operative mortality were urgent procedure, associated coronary artery surgery, NYHA functional class, and previous percutaneous valvuloplasty. While Collart et al [11] did not report operative mortality to be higher in surgical urgency, we found urgent procedure to be the most significant risk factor for operative death.…”

“…Our postoperative complication rate was somewhat high (60%), but comparable to the recent series of Collart et al [11] who reported a morbidity of 63%. Pulmonary insufficiency or infection was one of the leading causes of postoperative morbidity.…”

“…Poor left ventricular function was also predictive of hospital death in several studies [4,5,10,11]. Elayada et al [10] also found hypertension and concomitant surgical procedures to be associated with early mortality.…”

“…Recently, Chiappini et al [5] and Collart et al [11], respectively, reported a 8.5% and a 8.8% operative mortality after AVR in octogenarians.…”

“…Early reports of AVR in elderly patients showed high operative mortality rates; however, more recent reports have shown mortality rates of 2-10% for isolated AVR [3][4][5]10,11]. Recently, Chiappini et al [5] and Collart et al [11], respectively, reported a 8.5% and a 8.8% operative mortality after AVR in octogenarians.…”