Umfang:
Online-Ressource
ISSN:
1423-0003
Inhalt:
Introduction: Despite the feasibility, safety, and excellent outcomes of mitral valve surgery through a right mini-thoracotomy, there is data paucity about its use in octogenarians. In this study, we assess the outcomes of mitral valve surgery via right mini-thoracotomy in octogenarians. Methods: We performed a retrospective analysis of the in-hospital perioperative data of 38 octogenarian patients with severe mitral regurgitation undergoing isolated mitral valve surgery via right mini-thoracotomy from 2013 to 2021 in our institution. Results: The median patient age was 82 (81–83) years, and the median EuroSCORE II was 3.1% (2.3–4.9). A total of 19 (50%) patients underwent mitral valve repair. The median cardiopulmonary bypass duration was 78 (54–100) min and the median aortic cross-clamping duration was 57 (40–70) min. Two (5.3%) patients were converted to sternotomy, 1 (2.6%) underwent renal replacement therapy, 5 (13.2%) underwent reexploration for bleeding or tamponade, and 12 (31.6%) underwent permanent pacemaker implantation. The surgical repair success rate was 89.5%, with 2 (10.5%) patients requiring reoperation due to repair failure. No other patients required reoperation on the mitral valve. The median intensive care unit stay was 1 (1–2) day, and the median postoperative stay was 9.5 (8–14) days. There was no perioperative stroke or death. Conclusion: Despite a relatively increased risk of pacemaker implantation and reexploration for bleeding, our data support the feasibility of mitral valve surgery via a right mini-thoracotomy in octogenarians, with short ischemic times, low overall in-hospital morbidity, and no mortality. Preferring replacement in mitral diseases with a high risk for repair failure could minimize reoperations in this high-risk subgroup.
In:
volume:69
In:
number:10
In:
year:2023
In:
pages:1211-1217
In:
extent:7
In:
Gerontology, Basel [u.a.] : Karger, 1976-, 69, Heft 10 (2023), 1211-1217 (gesamt 7), 1423-0003
Sprache:
Englisch
URN:
urn:nbn:de:101:1-2023102600162289440435
URL:
https://doi.org/10.1159/000533560
URL:
https://nbn-resolving.org/urn:nbn:de:101:1-2023102600162289440435
URL:
https://d-nb.info/1307310583/34
URL:
https://kar.com/ger/ger/article-pdf/69/10/1211/4025954/000533560.pdf
URL:
https://karger.com/doi/10.1159/000533560
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