Fukuhiro Y, Kawazoe K
Department of Cardiovascular Surgery, Memorial Heart Center, Iwate Medical University, Morioka, Japan.
Kyobu Geka. 2005 Jul;58(8 Suppl):659-62.
Population of elderly people is increasing and aortic valve disease due to degeneration with aging process, especially aortic stenosis (AS) is increasing in elderly patients. With development and great use of non-invasive diagnostic techniques, particularly echocardiography, the diagnosis and evaluation of aortic valve disease are even safer in these patients. Aortic valve replacement (AVR) is effective treatment for symptomatic AS, however, generally has a higher risk in elderly patients, especially 80 years and over patients. Several reports demonstrated acceptable operative mortality and morbidity in elderly patients. We performed AVR or AVR with other cardiac surgical procedures in 16 cases of 80 years and over patients from 1998 to 2004, and there were no operative or hospital death. Therefore, AVR in 80 years and over patients could be acceptable surgical treatment and age alone is not contraindication.
老年人口正在增加，并且由于衰老过程导致的退行性主动脉瓣疾病，尤其是主动脉瓣狭窄（AS）在老年患者中也日益增多。随着非侵入性诊断技术的发展和广泛应用，特别是超声心动图，主动脉瓣疾病的诊断和评估在这些患者中变得更加安全。主动脉瓣置换术（AVR）是有症状AS的有效治疗方法，然而，在老年患者中通常风险较高，尤其是80岁及以上的患者。一些报告显示老年患者的手术死亡率和发病率是可接受的。我们在1998年至2004年期间对16例80岁及以上的患者进行了AVR或联合其他心脏外科手术，且没有手术或院内死亡病例。因此，80岁及以上患者的AVR可以是可接受的外科治疗，年龄本身并非禁忌证。
