The authors identified 1525 patients from a database at Feiring Heart Clinic, who had undergone aortic valve replacement from 1999 to 2010; of these, 361 patients were more than 80 years of age. The population was followed for all-cause mortality until March 2011, with special reference to the age group older than 80 years and other high-risk subsets.
The short-term mortality was 2.2% in the whole population and 3.9% in octogenarians. Five-year survival was 83.1 and 68.1%, respectively. In the high-risk subgroup of patients with a logistic EuroSCORE above 20%, the equivalent figures were 4.2 and 72.7%.
The authors conclude that contemporary results after conventional aortic valve surgery are excellent in both short- and long-term survival and should not be withheld in the elderly or otherwise high-risk populations. The authors state that the logistic EuroSCORE grossly overestimates the operative risk and should be used with caution in allocating patients to TAVI instead of conventional surgery.
- Mølstad P, Veel T, Rynning S.Long-term survival after aortic valve replacement in octogenarians and high-risk subgroups.Eur J Cardiothorac Surg. 2012 Dec;42(6):934-40. PMID: 22551963
- Beller CJ. Transapical aorticvalve implantation – What have we learnt? Quo vadis? CardiovascDiagnTher 2012 Oct 30. DOI: 10.3978/j.issn.2223-3652.2012.10.08http://www.thecdt.org/article/view/1174
- Holzhey DM, Hänsig M, Walther T, Seeburger J, Misfeld M, Linke A, Borger MA, Mohr FW. Transapical aortic valve implantation - The Leipzig experience. Ann CardiothoracSurg 2012;1(2):129-137. DOI: 10.3978/ j.issn.2225-319X.2012.06.09