Emergency mitral valve replacement in the octogenarian.
Acute mitral regurgitation secondary to a ruptured papillary muscle or primary chord, in the setting of profound cardiogenic shock, is one of the more challenging cases in adult cardiac surgery. Some would consider such a clinical situation in an octogenarian futile and, in the current era of health care cost containment, a potential waste of resources. We present two such cases with successful outcomes.
Gorman
Joseph H
JH
Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. gormanj@uphs.upenn.edu
Jackson
Benjamin M
BM
Kolansky
Daniel M
DM
Gorman
Robert C
RC
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass / Q000379:methods; D015150:Echocardiography, Doppler; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000503:physiopathology; D008944:Mitral Valve Insufficiency / Q000175:diagnosis* / Q000601:surgery*; D010210:Papillary Muscles / Q000293:injuries*; D018570:Risk Assessment; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000601:surgery; D012720:Severity of Illness Index; D016896:Treatment Outcome