Valvular and Congenital Heart DiseaseOperative and long-term survival of elderly is significantly improved by mitral valve repair
Section snippets
Patient population
Approval for this study was obtained from the Institutional Review Board. From January 1, 1992, to December 31, 2002, 292 patients aged ≥70 years with MR caused by FMV/MVP underwent first-time MV surgery. Patients underwent MV replacement if there was extensive calcification of the MV not amenable to repair. The diagnosis of FMV/MVP was based on echocardiographic, surgical, and pathological findings. Exclusion criteria included patients with MR known to be due to rheumatic, endocarditic, or
Patient demographics
Isolated valve surgery. There was a statistical difference between isolated MV repair and replacement within the proportion of patients undergoing tricuspid repair only (8.2% MV repair, 27.8% MV replacement, P = .003) (Table II). There was no significant difference between age, proportion of female patients, hypertension, diabetes, coronary artery disease, cerebrovascular disease, previous myocardial infarction, hypercholesterolemia, chronic renal insufficiency, preoperative atrial
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Cited by (39)
Mitral Valve Repair for Anterior/Bi-leaflet Versus Posterior Leaflet Degenerative Mitral Valve Disease: A Systematic Review and Meta-analysis
2022, Current Problems in CardiologyCitation Excerpt :When comparing various mitral valve pathologies, studies show that degenerative disease of the mitral valve is the most amenable to repair.18 Gogbashian et al. demonstrated that isolated MVr was an independent factor for improving long-term survival outcomes among elderly patients.19 Our analysis delineated similar findings with no significant difference in the long-term survival between anterior/bi-leaflet and isolated posterior MVr group.
Meta-Analysis Comparing Mitral Valve Repair Versus Replacement for Degenerative Mitral Regurgitation Across All Ages
2019, American Journal of CardiologyCitation Excerpt :The other study10 showed results in a subgroup of patients with degenerative MR (139 of 322 overall study patients). Three studies10,14,18 enrolled only elderly patients, although the cut-off age of elderly was different in the studies (70, 80, and 75, respectively). One study20 separately presented results in subgroups of elderly patients (between 65 to 74 and ≥75).
Predictors of survival in octogenarians after mitral valve surgery for degenerative disease: The Mitral Surgery in Octogenarians study
2018, Journal of Thoracic and Cardiovascular SurgeryCitation Excerpt :Initially, MVr was considered to be an unnecessary procedure in elderly subjects; moreover, there were concerns that fragile tissues and valvular calcification were more likely to preclude satisfactory valve repair in older patients.14 However, with increasing skill and understanding of mitral disease, the repair rate, especially in expert hands in high-volume centers, has continued to grow in the last few years.12-26 Our study confirms this trend, with an increasing ratio of MVr to MVR over time in octogenarians without significant cardiopulmonary bypass time difference between the 2 techniques.
Mitral valve repair versus replacement in the elderly: Short-term and long-term outcomes
2014, Journal of Thoracic and Cardiovascular SurgeryGeriatric cardiac surgery: Chronology vs. biology
2014, Heart Lung and Circulation