Aortic Valve Surgery in Patients Over 75 Years Old: Early Results and Predictors of Hospital Mortality
Background: Aortic valve surgery is the most essential part of worldwide heart valve surgery. In recent decades, the patient profile has changed even in our country, with the age of patients undergoing aortic valve surgery increasing significantly. The primary objectives of this study are the earl...
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| Format: | Article |
| Language: | English |
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Albanian Society for Trauma and Emergency Surgery
2025-01-01
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| Series: | Albanian Journal of Trauma and Emergency Surgery |
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| Online Access: | http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/412 |
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| author | Selman Dumani Laureta Dibra Ermal Likaj Saimir Kuci Edlira Rruci Aferdita Veseli Klodian Krakulli Andi Kacani Edvin Prifti Ilir Tanku Devis Pellumbi Alessia Mehmeti Adelina Musliu Ali Refatllari Altin Veshti |
| author_facet | Selman Dumani Laureta Dibra Ermal Likaj Saimir Kuci Edlira Rruci Aferdita Veseli Klodian Krakulli Andi Kacani Edvin Prifti Ilir Tanku Devis Pellumbi Alessia Mehmeti Adelina Musliu Ali Refatllari Altin Veshti |
| author_sort | Selman Dumani |
| collection | DOAJ |
| description | Background: Aortic valve surgery is the most essential part of worldwide heart valve surgery. In recent decades, the patient profile has changed even in our country, with the age of patients undergoing aortic valve surgery increasing significantly.
The primary objectives of this study are the early results of aortic valve replacement surgery in patients over 75 years old and the negative predictors that affect hospital mortality.
Materials and Methods: This is a retrospective study of 73 patients over 75 who underwent aortic valve surgery in 2014-2021 in our Cardiac Surgery Service, University Hospital Center “Mother Theresa” in Tirana. The patients' data regarding demographic, preoperative, operative, and postoperative variables were collected from the hospital's medical records. The data are presented in mean values and standard deviation. T-test and chi-squared test are also used.
Results: This study involved 73 patients, 50 males and 23 females. The age range was 75-85, averaging 77.12±2.31 years. Hospital mortality was 4.1%. The incidence of major perioperative complications such as low cardiac output, stroke, respiratory problems, bleeding, atrial fibrillation, wound infection, and conduction disturbances was 6.8%, 2.7 %, 4.1%, 2.7 %, 21.9 %, 2.6%, and 4.2 %.
Conclusions: Aortic valve surgery for elderly patients over 75 can be performed well. Concomitant procedures, prolonged extracorporeal circulation, and emergency intervention expose the patient to a high operative risk.
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| format | Article |
| id | doaj-art-d726feb0cb2d4fd2ae0df25cadf290ea |
| institution | Kabale University |
| issn | 2521-8778 2616-4922 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj-art-d726feb0cb2d4fd2ae0df25cadf290ea2025-01-19T14:24:42ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222025-01-019110.32391/ajtes.v9i1.412Aortic Valve Surgery in Patients Over 75 Years Old: Early Results and Predictors of Hospital MortalitySelman Dumani0Laureta Dibra1Ermal Likaj2Saimir Kuci3Edlira Rruci4Aferdita Veseli5Klodian Krakulli6Andi Kacani7Edvin Prifti8Ilir Tanku9Devis Pellumbi10Alessia Mehmeti11Adelina Musliu12Ali Refatllari13Altin Veshti14Service of Cardiac Surgery, University Hospital Center “Mother Theresa," Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center “Mother Theresa,” Tirana, ALBANIABackground: Aortic valve surgery is the most essential part of worldwide heart valve surgery. In recent decades, the patient profile has changed even in our country, with the age of patients undergoing aortic valve surgery increasing significantly. The primary objectives of this study are the early results of aortic valve replacement surgery in patients over 75 years old and the negative predictors that affect hospital mortality. Materials and Methods: This is a retrospective study of 73 patients over 75 who underwent aortic valve surgery in 2014-2021 in our Cardiac Surgery Service, University Hospital Center “Mother Theresa” in Tirana. The patients' data regarding demographic, preoperative, operative, and postoperative variables were collected from the hospital's medical records. The data are presented in mean values and standard deviation. T-test and chi-squared test are also used. Results: This study involved 73 patients, 50 males and 23 females. The age range was 75-85, averaging 77.12±2.31 years. Hospital mortality was 4.1%. The incidence of major perioperative complications such as low cardiac output, stroke, respiratory problems, bleeding, atrial fibrillation, wound infection, and conduction disturbances was 6.8%, 2.7 %, 4.1%, 2.7 %, 21.9 %, 2.6%, and 4.2 %. Conclusions: Aortic valve surgery for elderly patients over 75 can be performed well. Concomitant procedures, prolonged extracorporeal circulation, and emergency intervention expose the patient to a high operative risk. http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/412Aortic valve surgeryaortic prosthesisaortic valveelderly |
| spellingShingle | Selman Dumani Laureta Dibra Ermal Likaj Saimir Kuci Edlira Rruci Aferdita Veseli Klodian Krakulli Andi Kacani Edvin Prifti Ilir Tanku Devis Pellumbi Alessia Mehmeti Adelina Musliu Ali Refatllari Altin Veshti Aortic Valve Surgery in Patients Over 75 Years Old: Early Results and Predictors of Hospital Mortality Albanian Journal of Trauma and Emergency Surgery Aortic valve surgery aortic prosthesis aortic valve elderly |
| title | Aortic Valve Surgery in Patients Over 75 Years Old: Early Results and Predictors of Hospital Mortality |
| title_full | Aortic Valve Surgery in Patients Over 75 Years Old: Early Results and Predictors of Hospital Mortality |
| title_fullStr | Aortic Valve Surgery in Patients Over 75 Years Old: Early Results and Predictors of Hospital Mortality |
| title_full_unstemmed | Aortic Valve Surgery in Patients Over 75 Years Old: Early Results and Predictors of Hospital Mortality |
| title_short | Aortic Valve Surgery in Patients Over 75 Years Old: Early Results and Predictors of Hospital Mortality |
| title_sort | aortic valve surgery in patients over 75 years old early results and predictors of hospital mortality |
| topic | Aortic valve surgery aortic prosthesis aortic valve elderly |
| url | http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/412 |
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