title: [Aortic valve replacement in the elderly].
abstract: We report a retrospective study about 60 patients operated on for aortic valve replacement between 1981 and 2000. All patients were aged more than 65 years. 56.6% of patients were in the class III or IV of the NYHA. The type of the valvular substitute was a mechanical prostheses in 58.3% of cases and a biological prostheses in 41.7%. A mitral geste was associated in 6 cases and a myocardial revascularisatin in 5 cases. The early mortality rate was 15% and the late mortality was 23%. The high mortality is meanly related to the associate lesions (coronaropathy) and the prognosis is a better with the improvement of surgical technics and perioperative management.
authors.affiliation: Service de Cardiologie Adultes, Hôpital La Rabta, Tunis.
authors.forename: Manoubia
authors.initials: M
authors.lastname: Fekih
authors.forename: Mehdi
authors.initials: M
authors.lastname: Cheour
authors.forename: L
authors.initials: L
authors.lastname: Laâbidi
authors.forename: R Mohsen
authors.initials: RM
authors.lastname: Zaouali
mesh_terms: D000206:Actuarial Analysis; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001022:Aortic Valve Insufficiency / Q000145:classification / Q000175:diagnosis / Q000401:mortality* / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000145:classification / Q000175:diagnosis / Q000401:mortality* / Q000601:surgery*; D002423:Cause of Death; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000379:methods / Q000401:mortality*; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D011379:Prognosis; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D016019:Survival Analysis; D016896:Treatment Outcome; D014416:Tunisia / Q000453:epidemiology