Tanigawa K, Eishi K
Department of Cardiovascular Surgery, Nagasaki University School of Medicine, Nagasaki, Japan.
Kyobu Geka. 2005 Jul;58(8 Suppl):663-9.
It seems that mitral valve surgery in patients older than 80 years increase against the background of the aging society. Basically, there are not particular differences between elderly patients and younger patients in procedures for diagnosis and operative indication in mitral valve diseases. However, cardiac surgery for patients older than 80 years has been reported to have high mortality rate. Therefore, it is necessary that we should evaluate and treat complications of important organs such as brain/coronary artery/lungs/liver/kidney, adequately. Our mortality rate of the whole mitral valve operations was 2.4% and that of patients older than 75 years was 7.9%. This result compares favorably with those reported from other institutions. However, when we perform mitral valve operations for patients older than 80 years, it is necessary to investigate activities of daily living and quality of life before and after the operation.
在老龄化社会背景下，80岁以上患者的二尖瓣手术似乎有所增加。基本上，老年患者与年轻患者在二尖瓣疾病的诊断程序和手术指征方面没有特别差异。然而，据报道80岁以上患者的心脏手术死亡率很高。因此，我们有必要充分评估和治疗脑/冠状动脉/肺/肝/肾等重要器官的并发症。我们整个二尖瓣手术的死亡率为2.4%，75岁以上患者的死亡率为7.9%。这一结果与其他机构报告的结果相比具有优势。然而，当我们为80岁以上的患者进行二尖瓣手术时，有必要调查手术前后的日常生活活动和生活质量。
