The clinical study on the surgical treatment of cardiac valve disease in elderly patients
10.3760/cma.j.issn.1673-4904.2009.20.011
- VernacularTitle:老年心脏瓣膜病外科治疗的临床观察
- Author:
Yuefeng ZHANG
;
Jing ZHANG
;
Mei LIN
- Publication Type:Journal Article
- Keywords:
Aged;
Heart valve diseases;
Heart valve prosthesis implantation;
Cardiovascular surgical procedures
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(20):31-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical characteristics of the surgical treatment of cardiac valve disease in elderly patients.Methods Between January 2004 and February 2009,43 patients aged ≥65 underwent cardiac valve operation were enrolled as elderly group,85 patients aged <65 underwent the same operation served as control group in the same period,analyzed the clinical characteristics and difference between the two groups.Results The mortality of elderly group was higher than that of control group [11.6%(5/43) vs 2.4% (2/85),P<0.05].In elderly group,the duration of staying in ICU [(73.8±15.9) h],mechanical ventilation [(40.4±10.1)h],postoperative hospitalization time [(23.7±6.3) d]and the morbidity of postoperative complications [23.3%(10/43)]were higher than those of control group [(43.1±8.6)h,(28.5±5.8) h,(15.6±3.8) d,5.9%(5/85)](P<0.05 or <0.01).Conclusions Although there are high risks in patients aged 65 years and elderly with cardiac valve disease,the treatment results would be satisfactory ff select the right operating time and do full preparation with reasonable surgery strategy,the mortality and morbidity of postoperative complications could be reduced.
