Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

01 January 1996

Reconstruction of aortic valve stenosis in the elderly. Technique and results.

Paweł Pracki, H J Kellner, Eberhard Struck

Med Sci Monit 1996; 2(1): CR62-69 :: ID: 499524


Senile, tricuspid aortic stenosis was relieved in 26 patients (2.6%) by ultrasonic debridement in 985 aortic valve procedures between January 1990 and October 1995. There were 15 females and 11 males, aged 59 to 81 years (mean, 74). As a concomitant diagnosis, 23 patients (88%) had mostly mild, aortic valve insufficiency, 16 (61%) had coronary artery disease and 11 (42%) had mitral valve incompetence. Two operative deaths occurred and 6 patients died later. The follow-up period ranged from 16 to 73 months (mean, 29). Postoperative Doppler echocardiography showed immediately after surgery and 29 months later a decrease in peak and mean gradients across the aortic valve, three- and two-fold respectively (p<0.001). Twenty-nine months after debridement we observed a mild rise in both gradients (at peak gradient p<0.05). Directly postoperatively, the aortic valve area increased doubly and 29 months later it slightly decreased, but statistically significant in comparison with the preoperative data (p<0.001). Follow-up echocardiography demonstrated late onset of moderate aortic valve insufficiency in 6 patients and in 1 patient aortic valve restenosis required re-operation. The classification of New York Heart Association (NYHA) was improved in 13 (72%) survivors after 29 months. Only one patient showed deteriovation in his functional status. The advantage of preserving the native aortic valve in elderly patients is an argument in favour of period aortic valve reconstruction in selected patients. Longer follow-up is necessary, however, to establish this procedure as treatment of choice.

Keywords: aortic stenosis, reconstruction, Surgery, follow-up

Add Comment 0 Comments


01 June 2024 : Editorial  

Editorial: Concerns as Highly Pathogenic Avian Influenza (HPAI) Virus of the H5N1 Subtype is Identified in Dairy Cows and Other Mammals

Dinah V. Parums

DOI: 10.12659/MSM.945315

Med Sci Monit 2024; 30:e945315


In Press

Review article  

Impact of Workplace Bullying on Nursing Care Quality: A Comprehensive Review

Med Sci Monit In Press; DOI: 10.12659/MSM.944815  

Clinical Research  

Anterior Plate-Supported Cannulated Screw Surgery for Ankle Arthrodesis: Clinical and Radiologic Results in...

Med Sci Monit In Press; DOI: 10.12659/MSM.944452  

Clinical Research  

Elevated Plasma Levels of Growth Arrest Specific 6 (Gas6) Protein in Severe Obesity: Implications for Adipo...

Med Sci Monit In Press; DOI: 10.12659/MSM.944462  

Database Analysis  

Systemic Immune-Inflammation Index (SII) as a Predictor of Short-Term Mortality Risk in Sepsis-Associated A...

Med Sci Monit In Press; DOI: 10.12659/MSM.943414  

Most Viewed Current Articles

17 Jan 2024 : Review article   2,048,648

Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron Variant

DOI :10.12659/MSM.942799

Med Sci Monit 2024; 30:e942799


14 Dec 2022 : Clinical Research   1,553,068

Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase Levels

DOI :10.12659/MSM.937990

Med Sci Monit 2022; 28:e937990


16 May 2023 : Clinical Research   690,454

Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...

DOI :10.12659/MSM.940387

Med Sci Monit 2023; 29:e940387


01 Jan 2022 : Editorial   50,367

Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...

DOI :10.12659/MSM.935952

Med Sci Monit 2022; 28:e935952


Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750