Aortic valve replacement in geriatric patients: determinants of in-hospital mortality
作者： Larry Z Bloomstein , Isaac Gielchinsky , Alan D Bernstein , Victor Parsonnet , Craig Saunders
DOI: 10.1016/S0003-4975(00)02326-2
关键词:
摘要: Abstract Background . Aortic valve replacement is a common procedure in elderly patients. There has been great deal of controversy about the risks associated with early mortality. Uncertainty risk small continues to remain controversial. This study was designed identify factors influencing mortality and establish an accurate model for prediction in-hospital Methods One hundred eighty septuagenarians octogenarians (58% women; mean age, 76 ± 4.7 years) underwent primary isolated aortic between 1986 1997. overall 16.7% (n = 180). Patients body surface area less than 1.8 m 2 had 23.2% 95) compared 8.1% 74; p 0.009) patients or more. cardiopulmonary bypass time 100 minutes experienced 8.9% 56) 10.2% 59) on 124 29.6% 64) pump longer ( 0.040). Results Multivariate logistic regression analysis identified long as independent factors. A higher seen female receiving smaller valves. However, there strong correlation area, size, gender. Conclusions Small are two undergoing replacement. The use valves does not influence
annalsthoracicsurgery.org
elsevier.com
sci-hub.se 参考文章(16)
Fifer Ma, Akins Cw, Palacios If, Newell Jb, Buckley Mj, Block Pc, Levinson, Octogenarians with aortic stenosis. Outcome after aortic valve replacement. Circulation. ,vol. 80, ,(1989)
Guo-Wei He, Tea E. Acuff, William H. Ryan, Mark B. Douthit, Richard T. Bowman, Yang-Hui He, Michael J Mack, Aortic valve replacement: Determinants of operative mortality The Annals of Thoracic Surgery. ,vol. 57, pp. 1140- 1146 ,(1994) , 10.1016/0003-4975(94)91344-7
Dilip Sawant, Arun K. Singh, William C. Feng, Arthur A. Bert, Fred Rotenberg, St. Jude medical cardiac valves in small aortic roots: Follow-up to sixteen years The Journal of Thoracic and Cardiovascular Surgery. ,vol. 113, pp. 499- 509 ,(1997) , 10.1016/S0022-5223(97)70362-3
Andrew C. Fiore, Keith S. Naunheim, Hendrick B. Barner, D.Glenn Pennington, Lawrence R. McBride, George C. Kaiser, Vallee L. Willman, Valve replacement in the octogenarian The Annals of Thoracic Surgery. ,vol. 48, pp. 104- 108 ,(1989) , 10.1016/0003-4975(89)90189-6
Alfred T. Culliford, Aubrey C. Galloway, Stephen B. Colvin, Eugene A. Grossi, F.Gregory Baumann, Rick Esposito, Greg H. Ribakove, Frank C. Spencer, Aortic valve replacement for aortic stenosis in persons aged 80 years and over American Journal of Cardiology. ,vol. 67, pp. 1256- 1260 ,(1991) , 10.1016/0002-9149(91)90937-G
Hendrick B. Barner, Arthur J. Labovitz, Andrew C. Fiore, Prosthetic valves for the small aortic root. Journal of Cardiac Surgery. ,vol. 9, pp. 154- 157 ,(1994) , 10.1111/J.1540-8191.1994.TB00916.X
Guo-Wei He, Gary L. Grunkemeier, Hugh L. Gately, Anthony P. Furnary, Albert Starr, Up to thirty-year survival after aortic valve replacement in the small aortic root. The Annals of Thoracic Surgery. ,vol. 59, pp. 1056- 1062 ,(1995) , 10.1016/0003-4975(95)00075-V
John M. Kratz, Robert M. Sade, Fred A. Crawford, Arthur J. Crumbley, Martha R. Stroud, The risk of small St. Jude aortic valve prostheses The Annals of Thoracic Surgery. ,vol. 57, pp. 1114- 1119 ,(1994) , 10.1016/0003-4975(94)91339-0
K.Eric Sommers, Tirone E David, Aortic Valve Replacement With Patch Enlargement of the Aortic Annulus The Annals of Thoracic Surgery. ,vol. 63, pp. 1608- 1612 ,(1997) , 10.1016/S0003-4975(97)00127-6
Benjamin Medalion, Bruce W Lytle, Patrick M McCarthy, Robert W Stewart, Kristopher L Arheart, John H Arnold, Floyd D Loop, Delos M Cosgrove, Aortic valve replacement for octogenarians: are small valves bad? The Annals of Thoracic Surgery. ,vol. 66, pp. 699- 705 ,(1998) , 10.1016/S0003-4975(98)00691-2