Feasibility and Efficacy of Mitral Valve Repair for Degenerative Mitral Regurgitation in the Elderly

Purpose: The number of elderly patients who require surgical treatment for mitral regurgitation (MR) is increasing. However, the feasibility and efficacy of mitral valve repair in elderly patients are unclear.Methods: We retrospectively reviewed 55 patients, aged ≥75 years, who underwent mitral valv...

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Veröffentlicht in:	Annals of Thoracic and Cardiovascular Surgery 2014, Vol.20(6), pp.1001-1007
Hauptverfasser:	Murashita, Takashi, Okada, Yukikatsu, Kanemitsu, Hideo, Fukunaga, Naoto, Konishi, Yasunobu, Nakamura, Ken, Koyama, Tadaaki
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Age Factors Aged Aged, 80 and over degenerative mitral regurgitation elderly Feasibility Studies Female Heart Valve Prosthesis Implantation - adverse effects Heart Valve Prosthesis Implantation - mortality Hospital Mortality Humans Japan Male Middle Aged Mitral Valve - physiopathology Mitral Valve - surgery Mitral Valve Annuloplasty - adverse effects Mitral Valve Annuloplasty - mortality Mitral Valve Insufficiency - diagnosis Mitral Valve Insufficiency - mortality Mitral Valve Insufficiency - physiopathology Mitral Valve Insufficiency - surgery Mitral Valve Prolapse - diagnosis Mitral Valve Prolapse - mortality Mitral Valve Prolapse - physiopathology Mitral Valve Prolapse - surgery mitral valve repair Postoperative Complications - mortality Retrospective Studies Risk Factors Severity of Illness Index Stroke Volume Time Factors Treatment Outcome Ventricular Function, Left
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Zusammenfassung:	Purpose: The number of elderly patients who require surgical treatment for mitral regurgitation (MR) is increasing. However, the feasibility and efficacy of mitral valve repair in elderly patients are unclear.Methods: We retrospectively reviewed 55 patients, aged ≥75 years, who underwent mitral valve repair for degenerative MR between 1991 and 2011. All patients were followed up for 4.7 ± 3.4 years.Results: The patients aged ≥75 years were more symptomatic and had a higher incidence of persistent atrial fibrillation and pulmonary hypertension than those aged
ISSN:	1341-1098 2186-1005
DOI:	10.5761/atcs.oa.13-00243