International Journal of Cardiology
Volume 141, Issue 1 , Pages 24-31 , 14 May 2010

Early and long-term survival after aortic valve replacement in septuagenarians and octogenarians with severe aortic stenosis

  • Wen-hong Ding

      Affiliations

    • Department of Paediatric Cardiology, Beijing Anzhen Hospital, Capital University of Medical Sciences, Beijing, China
  • ,
  • Yat-yin Lam

      Affiliations

    • Division of Cardiology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Li Ka Shing Institute of Health and Sciences, Institute of Vascular Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
    • Corresponding Author InformationCorresponding author. Division of Cardiology, SH Ho Cardiovascular and Stroke Centre, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong. Tel.: +852 26323131; fax: +852 26324590.
    • Joint first author.
  • ,
  • John R. Pepper

      Affiliations

    • Royal Brompton Hospital, London, United Kingdom
  • ,
  • Mehmet G. Kaya

      Affiliations

    • Department of Cardiology, Erciyes University, Erciyes, Turkey
  • ,
  • Wei Li

      Affiliations

    • Royal Brompton Hospital, London, United Kingdom
  • ,
  • Robin Chung

      Affiliations

    • Royal Brompton Hospital, London, United Kingdom
  • ,
  • Michael Y. Henein

      Affiliations

    • Heart Centre, Norrlands University Hospital, Uemå, Sweden

Received 9 June 2008 ,Accepted 20 November 2008.

References 

  1. Lindblom D, Lindblom U, Qvist J. Long-term relative survival rates after heart valve replacement. J Am Coll Cardiol. 1990;15:566–573
  2. Lund O. Preoperative risk evaluation and stratification of long-term survival after valve replacement for aortic stenosis. Reasons for earlier operative intervention. Circulation. 1990;82:124–139
  3. Martinez MW, Nishimura RA. Approach to the patient with aortic stenosis and low ejection fraction. Curr. Cardiol. Rep. 2006;8:90–5. Review.
  4. Logeais Y, Langanay T, Roussin R. Surgery for aortic stenosis in elderly patients. A study of surgical risk and predictive factors. Circulation. 1994;90:2891–2898
  5. Schiller NB. Two-dimensional Echocardiographic determination of left ventricular volume, systolic function, and mass. Summary and discussion of the 1989 recommendations of the American Society of Echocardiography. Circulation. 1991;84(suppl I):I280–I287
  6. Devereux RB, Reichek N. Echocardiographic determination of left ventricular mass in man. Anatomic validation of the method. Circulation. 1977;55:613–618
  7. Skjaerpe T, Hegrenaes L, Hatle L. Noninvasive estimation of valve area in patients with aortic stenosis by Doppler ultrasound and two-dimensional echocardiography. Circulation. 1985;72:810–881
  8. Blais C, Dumesnil JG, Baillot R. Impact of valve prosthesis-patient mismatch on short-term mortality after aortic valve replacement. Circulation. 2003;108:983–988
  9. Oh JK, Appleton CP, Hatle LK. The non-invasive assessment of left ventricular diastolic function with two-dimensional and Doppler echocardiography. J Am Soc Echocardiogr. 1997;10:246–270
  10. Nishimura RA, Tajik AJ. Evaluation of diastolic filling of left ventricle in health and disease: Doppler echocardiography is the clinician's Rosetta stone. J Am Coll Cardiol. 1997;30:8–18
  11. Yamamoto K, Nishimura RA, Burnett JC. Assessment of left ventricular end-diastolic pressure by Doppler echocardiography: contribution of duration of pulmonary venous versus mitral flow velocity curves at atrial contraction. J Am Soc Echocardiogr. 1997;10:52–59
  12. Bonow RO, Carabello BA, Chatterjee K, et al. Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation 2008;118:e523–661.
  13. Connolly HM, Oh JK, Orszulak TA, et al. Aortic valve replacement for aortic stenosis with severe left ventricular dysfunction. Prognostic indicators. Circulation. 1997;95:2395–2400
  14. Connolly HM, Oh JK, Schaff HV. Severe aortic stenosis with low transvalvular gradient and severe left ventricular dysfunction: result of aortic valve replacement in 52 patients. Circulation. 2000;101:1940–1946
  15. Carabello BA, Green LH, Grossman W. Haemodynamic determinants of prognosis of aortic valve replacement in critical aortic stenosis and advanced congestive heart failure. Circulation. 1980;62:42–48
  16. Pereira JJ, Lauer MS, Bashir M. Survival after aortic valve replacement for severe aortic stenosis with low transvalvular gradients and severe left ventricular dysfunction. J Am Coll Cardiol. 2002;39:1356–1363
  17. Tseng EE, Lee CA, Cameron DE. Aortic valve replacement in the elderly: risk factors and long-term results. Ann Surg. 1997;225:793–804
  18. Kolh B, Lahaye L, Gerard P. Aortic valve replacement in the octogenarians: perioperative outcome and clinical follow-up. Eur J Cardio-thorac Surg. 1999;16:68–73
  19. Vaquette B, Corbineau H, Laurent M. Valve replacement in patients with critical aortic stenosis and depressed left ventricular function: predictors of operative risk, left ventricular function recovery, and long term outcome. Heart. 2005;91:1324–1329
  20. Ezekowitz JA, McAlister FA, Armstrong PW. Anaemia is common in heart failure and is associated with poor outcomes insights from a cohort of 12,065 patients with new-onset HF. Circulation. 2003;107:223–225
  21. Horwich TB, Fonarow GC, Hamilton MA. Anemia is associated with worse symptoms, greater impairment in functional capacity and a significant increase in mortality in patients with advanced HF. J Am Coll Cardiol. 2002;39:1780–1786
  22. de Silva R, Rigby AS, Witte KKA. Anemia, renal dysfunction, and their interaction in patients with chronic heart failure. Am J Cardiol. 2006;98:391–398
  23. Sharony R, Bizekis CS, Kanchuger M. Off-pump coronary artery bypass grafting reduces mortality and stroke in patients with atheromatous aortas: a case control study. Circulation. 2003;108(Suppl 1):II15–II20
  24. Puskas JD, Kilgo PD, Lattouf OM, et al. Off-pump coronary bypass provides reduced mortality and morbidity and equivalent 10-year survival. Ann Thorac Surg. 2008;86:1139–1146
  25. Beauford RB, Goldstein DJ, Sardari FF. Multivessel off-pump revascularization in octogenarians: early and midterm outcomes. Ann Thorac Surg. 2003;76:12–17
  26. Mohty-Echahidi D, Malouf JF, Girard SE. Impact of prosthesis-patient mismatch on long-term survival in patients with small St Jude Medical mechanical prostheses in the aortic position. Circulation. 2006;113:420–426
  27. Kulik A, Burwash IG, Kapila V. Long-term outcomes after valve replacement for low-gradient aortic stenosis: impact of prosthesis-patient mismatch. Circulation. 2006;114(1 Suppl):I553–I558
  28. Pibarot P, Dumesnil JG. Prevention of valve prosthesis-patient mismatch before aortic valve replacement: does it matter and is it feasible?. Heart. 2007;93:549–551
  29. Gjertsson P, Caidahl K, Farasati M. Preoperative moderate to severe diastolic dysfunction: a novel Doppler echocardiographic long-term prognostic factor in patients with severe aortic stenosis. J Thorac Cardiovasc Surg. 2005;129:890–896
  30. Lam YY, Kaya MG, Goktekin O. “Isolated” diastolic dysfunction in left ventricular outflow tract obstruction. Am J Cardiol. 2006;98:509–514
  31. Heymans S, Schroen B, Vermeersch P. Increased cardiac expression of tissue inhibitor of metalloproteinase-1 and tissue inhibitor of metalloproteinase-2 is related to cardiac fibrosis and dysfunction in the chronic pressure-overloaded human heart. Circulation. 2005;112:1136–1144
  32. Coats AJ. Ethical authorship and publishing. Am J Cardiol. 2009;131:149–150

PII: S0167-5273(08)01284-9

doi: 10.1016/j.ijcard.2008.11.126

International Journal of Cardiology
Volume 141, Issue 1 , Pages 24-31 , 14 May 2010