Surgical correction of mitral regurgitation in the elderly : Outcomes and recent improvements

In the elderly, mitral regurgitation (MR) is frequent, but surgery risks are considered high. Benefits and indications of MR surgery are uncertain in the elderly. Baseline characteristics, outcome, and trends for surgical results improvement were analyzed in elderly patients (> or = 75 years of a...

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Veröffentlicht in:	Circulation (New York, N.Y.) N.Y.), 2006-07, Vol.114 (4), p.265-272
Hauptverfasser:	DETAINT, Delphine, SUNDT, Thoralf M, NKOMO, Vuyisile T, SCOTT, Christopher G, JAMIL TAJIK, A, SCHAFF, Hartzell V, ENRIQUEZ-SARANO, Maurice
Format:	Artikel
Sprache:	eng
Schlagworte:	Age Factors Aged Aged, 80 and over Biological and medical sciences Blood and lymphatic vessels Cardiac Surgical Procedures - mortality Cardiac Surgical Procedures - trends Cardiology. Vascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Drug toxicity and drugs side effects treatment Female Humans Life Expectancy Male Medical sciences Miscellaneous (drug allergy, mutagens, teratogens...) Mitral Valve Insufficiency - epidemiology Mitral Valve Insufficiency - mortality Mitral Valve Insufficiency - surgery Pharmacology. Drug treatments Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Survival Rate Treatment Outcome Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Zusammenfassung:	In the elderly, mitral regurgitation (MR) is frequent, but surgery risks are considered high. Benefits and indications of MR surgery are uncertain in the elderly. Baseline characteristics, outcome, and trends for surgical results improvement were analyzed in elderly patients (> or = 75 years of age; n=284) operated on for MR in 1980 to 1995 compared with younger patients (65 to 74 years of age, n=504; and
ISSN:	0009-7322 1524-4539
DOI:	10.1161/CIRCULATIONAHA.106.619239