[Mitral valve surgery in the elderly].
We report a retrospective study about 34 patients operated for on mitral valve between 1981 and 2000. All patients were aged more than 65 years. 82% of them were in the class III or IV of the NYHA. 31 of patients had a valvular mitral replacement (by a mechanical protheses in 24 cases and a biological protheses in 7 cases) and 3 patients had a mitral valve reconstruction. An aortic valve replacement was associated in 7 cases, and a myocardial revascularisation in 4 cases. The early mortality rate was 17,6% and the late mortality was 12%. The high mortality is meanly related to the associate lesions (coronarography) and the prognosis is a better with the improvement of surgical technics and perioperative management.
Fekih
Manoubia
M
Service de Cardiologie Adulte, Hôpital la Rabta.
Ouachani
Raoudha
R
Zaouali
R Mohsen
RM
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001705:Bioprosthesis; D002404:Catheterization; D005260:Female; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000601:surgery* / Q000628:therapy; D008946:Mitral Valve Stenosis / Q000175:diagnosis / Q000601:surgery* / Q000628:therapy; D011183:Postoperative Complications; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors