01 January 1996
Reconstruction of aortic valve stenosis in the elderly. Technique and results.
Paweł Pracki, H J Kellner, Eberhard StruckMed Sci Monit 1996; 2(1): CR62-69 :: ID: 499524
Abstract
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
487 0
Editorial
01 November 2023 : Editorial
Editorial: Factors Driving New Variants of SARS-CoV-2, Immune Escape, and Resistance to Antiviral Treatments as the End of the COVID-19 Pandemic is DeclaredDOI: 10.12659/MSM.942960
Med Sci Monit 2023; 29:e942960
In Press
30 Nov 2023 : Review article
Decoding the Neurological Sequelae of General Anesthesia: A ReviewMed Sci Monit In Press; DOI: 10.12659/MSM.942740
30 Nov 2023 : Clinical Research
Enhanced Pain Relief and Muscle Growth in Individuals with Low Back Instability: The Impact of Blood Flow R...Med Sci Monit In Press; DOI: 10.12659/MSM.942508
29 Nov 2023 : Clinical Research
Comparative Analysis of Intramedullary Nail versus Plate Fixation for Fibula Fracture in Supination Externa...Med Sci Monit In Press; DOI: 10.12659/MSM.941909
29 Nov 2023 : Clinical Research
Impact of COVID-19 on Academic Burnout among Medical College Students in China: Findings from a Web-Based S...Med Sci Monit In Press; DOI: 10.12659/MSM.942317
Most Viewed Current Articles
13 Nov 2021 : Clinical Research
Acceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...DOI :10.12659/MSM.932788
Med Sci Monit 2021; 27:e932788
30 Dec 2021 : Clinical Research
Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...DOI :10.12659/MSM.935379
Med Sci Monit 2021; 27:e935379
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
08 Mar 2022 : Review article
A Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...DOI :10.12659/MSM.936292
Med Sci Monit 2022; 28:e936292