This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (43)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Encouraging Postoperative Clinical and Hemodynamic Results

Mark S. Hochberg, MD; Andrew G. Morrow, MD; Lawrence L. Michaelis, MD; Charles L. McIntosh, MD; David R. Redwood, MD; Stephen E. Epstein, MD

Arch Surg. 1977;112(12):1475-1480.

Abstract
• Seventy-three patients aged 60 and over and 277 patients under 60 years of age underwent isolated aortic valve replacement (AVR) for aortic stenosis, regurgitation, and mixed disease from 1966 through 1975. Cardiac catheterization was performed five to nine months following operation in 77% of these patients. Follow-up averaged 55 months per patient. The hospital mortality in the elderly group was 2.7%, compared to 5.8% in the younger group. The late cardiac mortality was 21% and 19%, respectively. There was significant improvement (P <.001) in the left ventricular end-diastolic pressure, cardiac index, and functional class in each of the three disease groups in the younger as well as the elderly patients. More important, the magnitude of improvement in each of these variables in patients over and under 60 years of age was not significantly different. Increasing longevity will make cardiac operations more common in the older population. These findings indicate that AVR carries the same low risk and brings about a similar improvement in left ventricular pump function in patients older and younger than 60.

(Arch Surg 112:1475-1480, 1977)

Author Affiliations
From the Clinic of Surgery and Cardiology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md. Dr Hochberg is presently with the Department of Surgery, Massachusetts General Hospital, Boston.

Footnotes
Accepted for publication July 5, 1977.

Read before the 25th scientific meeting of the International Cardiovascular Society, Rochester, NY, June, 17, 1977.

Reprint requests to Clinic of Surgery, Bldg 10, Room 6N252, National Heart, Lung, and Blood Institute, Bethesda, MD 20014 (Dr Morrow).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Open-Heart Surgery in Patients Over Sixty Years of Age
Morishita et al.
VASC ENDOVASCULAR SURG 1989;23:1-7.
ABSTRACT  

Syncope in the Elderly
LIPSITZ
ANN INTERN MED 1983;99:92-105.
ABSTRACT