scholarly journals Quality of life after aortic valve surgery: Replacement versus reconstruction

2011 ◽  
Vol 142 (2) ◽  
pp. e19-e24 ◽  
Author(s):  
Diana Aicher ◽  
Annika Holz ◽  
Susanne Feldner ◽  
Volker Köllner ◽  
Hans-Joachim Schäfers
Keyword(s):  
Quality Of Life ◽  
Aortic Valve ◽  
Valve Surgery ◽  
Aortic Valve Surgery

Outcomes and quality of life after aortic valve surgery in octogenarians

2019 ◽  
Vol 35 (2) ◽  
pp. 341-344
Author(s):  
Aikaterini Gavalaki ◽  
Antonios Roussakis ◽  
Panagiotis Zoubourlis ◽  
Constantinos Contrafouris ◽  
Dimitrios Zarkalis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Aortic Valve ◽  
Valve Surgery ◽  
Aortic Valve Surgery ◽  
Surgery In Octogenarians

scholarly journals The impact of frailty in aortic valve surgery. 

2020 ◽  
Author(s):  
elisabet berastegui ◽  
Maria Luisa CAmara ◽  
Enrique Moret ◽  
Irma Casas ◽  
Sara Badia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Aortic Valve ◽  
Valve Surgery ◽  
Geriatric Syndrome ◽  
Aortic Valve Surgery ◽  
Surgical Risk ◽  
Scale Scores ◽  
The Impact

Abstract Background: Frailty is a geriatric syndrome that diminishes potential functional recovery after any surgical procedure. Preoperative surgical risk assessment is crucial to calibrate the risk and benefit of cardiac surgery. The aim of this study was to test usefulness of FRAIL Scale and other surgical-risk-scales and individual features of frailty in cardiac aortic valve surgery. Methods: Prospective study. From May-2014 to February-2016, we collected 200 patients who underwent aortic valve replacement, either surgically or transcatheter. At 1-year follow-up, quality of life measurements were recorded using the EQ-5D (EuroQol). Univariate and multivariate analyses correlated preoperative condition, features of frailty and predicted risk scores with mortality, morbidity and quality of life at 1 year of follow-up. Results: Mean age 78.2y, 56%male. Mean-preoperative-scores: FRAIL scale 1.5(SD 1.02), STS 2.9(SD 1.13), BI 93.8(SD 7.3), ESlog I 12.8(SD 8.5) and GS 7.3s (SD 1.9). Morbidity at discharge, 6 m and 1 year was 51%, 14% and 28%. Mortality 4%. Survival at 6m/ 1-y was 97% / 88%. Complication-rate was higher in TAVI group due to-vascular complications. Renal dysfunction, anemia, social dependence and GS slower than 7 seconds were associated with morbidity. On multivariate analysis adjusted STS, BI and GS speed were statistically significant. Quality of life at 1-year follow-up adjusted for age and prosthesis type showed a significant association with STS and FRAIL scale scores. Conclusions: Frailty increases surgical risk and is associated with higher morbidity. Preoperative GS slower 7 s, and STS and FRAIL scale scores seem to be reliable predictors of quality of life at 1-year follow-up.

scholarly journals The impact of frailty in aortic valve surgery

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Elisabet Berastegui Garcia ◽  
Maria Luisa Camara Rosell ◽  
Enrique Moret Ruiz ◽  
Irma Casas Garcia ◽  
Sara Badia Gamarra ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Aortic Valve ◽  
Valve Surgery ◽  
Geriatric Syndrome ◽  
Aortic Valve Surgery ◽  
Surgical Risk ◽  
Scale Scores ◽  
The Impact

Abstract Background Frailty is a geriatric syndrome that diminishes potential functional recovery after any surgical procedure. Preoperative surgical risk assessment is crucial to calibrate the risk and benefit of cardiac surgery. The aim of this study was to test usefulness of FRAIL Scale and other surgical-risk-scales and individual features of frailty in cardiac aortic valve surgery. Methods Prospective study. From May-2014 to February-2016, we collected 200 patients who underwent aortic valve replacement, either surgically or transcatheter. At 1-year follow-up, quality of life measurements were recorded using the EQ-5D (EuroQol). Univariate and multivariate analyses correlated preoperative condition, features of frailty and predicted risk scores with mortality, morbidity and quality of life at 1 year of follow-up. Results Mean age 78.2y, 56%male. Mean-preoperative-scores: FRAIL scale 1.5(SD 1.02), STS 2.9(SD 1.13), BI 93.8(SD 7.3), ESlog I 12.8(SD 8.5) and GS 7.3 s (SD 1.9). Morbidity at discharge, 6 m and 1 year was 51, 14 and 28%. Mortality 4%. Survival at 6 m/ 1-y was 97% / 88%. Complication-rate was higher in TAVI group due to-vascular complications. Renal dysfunction, anemia, social dependence and GS slower than 7 s were associated with morbidity. On multivariate analysis adjusted STS, BI and GS speed were statistically significant. Quality of life at 1-year follow-up adjusted for age and prosthesis type showed a significant association with STS and FRAIL scale scores. Conclusions Frailty increases surgical risk and is associated with higher morbidity. Preoperative GS slower 7 s, and STS and FRAIL scale scores seem to be reliable predictors of quality of life at 1-year follow-up.

scholarly journals Aortic Annulus Enlargement: Early and Long-Terms Results

2017 ◽  
Vol 5 (1) ◽  
pp. 23-26
Author(s):  
Selman Dumani ◽  
Ermal Likaj ◽  
Laureta Dibra ◽  
Vera Beca ◽  
Saimir Kuci ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Pulmonary Complications ◽  
Valve Surgery ◽  
Aortic Annulus ◽  
Aortic Valve Surgery ◽  
Low Cardiac Output ◽  
Valve Pathology ◽  
Severe Patient

AIM: Patient-prosthesis mismatch (PPM) is a common occurrence in aortic valve surgery. Even the discussions about the impact of this phenomenon on the results of aortic valve surgery, the management of this problem remain one of the main topics in this kind of surgery. One of the ways of a solution is aortic annulus enlargement. The main topic of this study is to evaluate the early and longterm results of this technique in our country.METHODS: During the period January 2010 –January 2015, 641 patients performed aortic valve surgery. In ten patients we performed aortic annulus enlargement according to Manouguian technique to avoid severe patient-prothesis mismatch.Operative mortality and perioperative complications (low cardiac output, pulmonary complications, etc..) were considered the indicators of the early results. Survival, clinical presentation according to NYHA, quality of life were the indicators to evaluate long-term results. Preoperative and postoperative echocardiographic data were also used to evaluate our results. We collected the data from hospital registrations and periodical clinical visit and echographic examination after hospital discharge.RESULTS: In our group, 6 of 10 patients were diagnosed with stenotic aortic valve, two patients had aortic valve regurgitation and two mixed valve pathology. Four patients had concomitant cardiac surgery procedure, mitral or CABG. In all cases, aortic valve pathology was the primary diagnose.In the preoperative echocardiographic examination mean transvalvular gradient was 54.3 ± 6.42.We had no death during early or late postoperative period. Only one patient had pulmonary complications and long time of respiratory assistance because of his pulmonary pathology.The same patient had low cardiac output and wound infection. Early after surgery mean transprostethic gradient was 16.2 ± 3.44 and late postoperative was 15.9 ± 4.3. No patient had the severe patient-prothesis mismatch. Mean follow-up was 49 ± 20.26 months. During follow-up, we had no death, and all patients had very good quality of life.CONCLUSIONS: Aortic valve annulus enlargement can be used with very good early and late results with the final goal to increase the potential benefit of the patient from surgery of aortic valve.

Long term follow-up in quality of life after mitral valve surgery

2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
I Kammerer ◽  
M Höhn ◽  
AH Kiessling ◽  
S Becker ◽  
FU Sack
Keyword(s):  
Quality Of Life ◽  
Mitral Valve ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Long Term Follow Up
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