Kwiecień Anna, Hrapkowicz Tomasz, Filipiak Krzysztof, Przybylski Roman, Kaczmarczyk Marcin, Kowalczuk Anetta, Zembala Marian
Department of Cardiac, Vascular and Endovascular Surgery and Transplantology, Medical University of Silesia in Katowice, Silesian Centre for Heart Diseases, Zabrze, Poland.
Department of Cardiovascular Surgery Transplantology Department, John Paul II Hospital, Jagiellonian University Medical College, Krakow, Poland.
Kardiochir Torakochirurgia Pol. 2018 Sep;15(3):188-195. doi: 10.5114/kitp.2018.78445. Epub 2018 Sep 24.
Surgical treatment of severe aortic stenosis offers good early and long-term results, even in elderly patients. Despite the implementation of percutaneous methods for the very high-risk group, surgical valve replacement remains the gold standard. The advanced age of patients should not be the only indicator limiting the possibility of surgery. In this review we present the most important information on the results of aortic stenosis surgical treatment in the groups of older patients. New methods such as percutaneous and minimally invasive methods of surgery are also discussed. Additionally, the presented information is referred to current guidelines for the treatment of severe aortic stenosis.
即使对于老年患者，严重主动脉瓣狭窄的外科治疗也能带来良好的早期和长期效果。尽管针对极高风险组实施了经皮治疗方法，但外科瓣膜置换仍是金标准。患者的高龄不应是限制手术可能性的唯一指标。在本综述中，我们介绍了老年患者主动脉瓣狭窄外科治疗结果的最重要信息。还讨论了经皮和微创外科手术等新方法。此外，所呈现的信息参考了当前严重主动脉瓣狭窄的治疗指南。
