gms | German Medical Science

130. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

30.04. - 03.05.2013, München

Long term results of mitral valve repair in octogenarians

Meeting Abstract

  • Diana Diaz Vazquez - HDZ NRW Bad Oeynhausen, Herzchirurgie, Bad Oeynhausen
  • Ulrich Rosendahl - HDZ NRW Bad Oeynhausen, Herzchirurgie, Bad Oeynhausen
  • Claudia Lässle - Herzzentrum Lahr, Herzchirurgie, Lahr
  • Stefan Bauer - Herzzentrum Lahr, Herzchirurgie, Lahr
  • Jan Gummert - HDZ NRW Bad Oeynhausen, Herzchirurgie, Bad Oeynhausen
  • Jürgen Ennker - Herzzentrum Lahr, Herzchirurgie, Lahr

Deutsche Gesellschaft für Chirurgie. 130. Kongress der Deutschen Gesellschaft für Chirurgie. München, 30.04.-03.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13dgch631

doi: 10.3205/13dgch631, urn:nbn:de:0183-13dgch6319

Veröffentlicht: 26. April 2013

© 2013 Diaz Vazquez et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



Introduction: The optimal strategy for the management of mitral regurgitation in octogenarians is still debated. Cardiac operations in elderly patients are increasingly frequent and imply major clinical and ethical issues. The aim of this study is to analyse the mitral valve procedure in this group of patients.

Material and methods: We retrospectively reviewed our experience between 2003 and 2010 in 46 patients, 27 women and 19 men, with chronic mitral regurgitation and New York Heart Association (NYHA) Class I/II. 24 patients had concomitant coronary artery bypass grafting (CABG). Preoperative and postoperative echocardiography examination was done. Predicted operative mortality was evaluated with Euroscore. Mortality and life tables were studied. Parameters that affect survival were evaluated with Cox regression analysis. A p value less than 0.05 was considered statistical significant. Quality of life test was performed.

Results: Mean postoperative follow-up was 42±10 months (Range 1-52 months). Mean age was 84.82±5.81 (80-88). The EF increased from 36.60%±11.21% to 43.92%±10.98%. Postoperative 9 patients suffered of low cardiac output syndrome. Hospital mortality was 6.52%. The 30 days survival was 91.30%, the 12, 24 and 48 months survival was, 86.95%, 80.44% and 65.21% respectively. Risk factors for early mortality were mitral valve repair with concomitant CABG, emergency, acute myocardial infarction, chronic lung disease and depressed systolic function. Predictors for long term mortality were age (p<0.001), depressed systolic function and lung disease.

Conclusion: Mitral valve repair with or without concomitant CABG can be performed with acceptable morbidity and mortality in patients aged 80 years or more. A proper selection of patients and the operative risk evaluation should be considered. Whenever possible, nonelective operations should be avoided and earlier surgery should be encouraged.