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Mitral valve surgery in the elderly: new insights and unanswered questions.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Alfieri, Ottavio Maisano, Francesco |
| Copyright Year | 2011 |
| Abstract | This editorial refers to ‘A propensity score-adjusted retrospective comparison of early and mid-term results of mitral valve repair versus replacement in octogenarians’[†][1], by J. Chikwe et al. , on page 618 Mitral regurgitation (MR) in the elderly population is expected to become a relevant health problem in the future, considering the constantly increasing ageing of the population and the rapid increment of the prevalence of heart failure. According to recent data, moderate or severe MR is present in ∼10% of the general population above 75 years of age.1 Conversely, the Euro Heart Survey shows that only a minority of elderly symptomatic patients with severe MR are referred for surgical treatment, since the operative risk is considered too high and the benefit of surgery has not been definitely demonstrated.2 As a consequence, there are very few publications on octogenarians submitted to mitral surgery, and the available data are either related to small series or include heterogeneous patients,3–5 making speculations with regard to treatment strategies inconclusive. In this scenario, the study of Chikwe et al. 6 dealing with results of mitral valve surgery in octogenarians is of great interest and is certainly timely. A consecutive series of 322 octogenarians operated on in two high volume institutions with well-recognized expertise in the field of mitral valve disease, over a period of 10 years, is retrospectively analysed. The combined series provides a sufficient data set for statistical analysis and therefore can provide important information at least in the larger subgroups of patients: those … [1]: #fn-2 |
| Starting Page | 434 |
| Ending Page | 437 |
| Page Count | 4 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://oup.silverchair-cdn.com/oup/backfile/Content_public/Journal/eurheartj/32/5/10.1093/eurheartj/ehq383/2/ehq383.pdf?Expires=1492553026&Key-Pair-Id=APKAIUCZBIA4LVPAVW3Q&Signature=D3D-Q6FwoEKuldiaA7R5tH~5ti9YhSwV7LNRD~fvhQB~TRW1StG6nfzW4uX2kBk25nKjOkPknDCGmbjF-3d68YZyaWApQWrCzZsiK4X4yB-q~ahticp~D5n-twZpTPofWzIA9nU4fBDMksUPUpeaDd8OE5sST84NSLdkalUrpi4McRjVmLF0iDtHVIglOgCPd82zlDSKrjiYiyzU1fFXirPPzGWWBBZZNw~Fv7NtPl6mfiECxqIp~Bu5I8QA3vi1NvVD0PCEiIXgf~e6yf7WYTVqE~9R47o0prZGED3YdSD79ADci8tURCHLIRWmhEBlaLbGrjSgeRtDoVHZBBc1Qw__ |
| PubMed reference number | 20978015v1 |
| Alternate Webpage(s) | https://doi.org/10.1093/eurheartj/ehq383 |
| DOI | 10.1093/eurheartj/ehq383 |
| Journal | European heart journal |
| Volume Number | 32 |
| Issue Number | 5 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Abnormal degeneration Aging Atrial Fibrillation Bioprosthesis device Clarify Coronary heart disease Decision Making Diseases of mitral valve Endocarditis Euro currency Functional Gastrointestinal Disorders Genetic Heterogeneity Heart Atrium Heart failure Large Mitral Valve Insufficiency Mitral Valve Prolapse Syndrome Neurodegenerative Disorders Patients Regurgitation Rheumatism Sternotomy (procedure) Tricuspid valve structure |
| Content Type | Text |
| Resource Type | Article |
