Aortic Valve Replacement With or Without Concurrent Coronary Artery Bypass Grafting in Octogenarians: Eight-Year Cohort Study

Background With the introduction of transcatheter aortic valve implantation (TAVI), there is increasing interest in evaluating outcomes of aortic valve replacement (AVR) with or without (+/-) concurrent coronary artery bypass grafting (CABG) particularly in high-risk patients. We reviewed the charac...

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Bibliographic Details
Published in:Heart, lung & circulation lung & circulation, 2017-01, Vol.26 (1), p.82-87
Main Authors: Wang, Tom Kai Ming, MBCHB, Choi, David HM, MBCHB, Ramanathan, Tharumenthiran, FRACS, Ruygrok, Peter N, FRACP
Format: Article
Language:English
Subjects:
Aged, 80 and over
Aortic Valve - surgery
Aortic valve replacement
Cardiac surgery
Cardiovascular
Coronary Artery Bypass - methods
Coronary artery bypass grafting
Female
Follow-Up Studies
Geriatrics
Humans
Male
Postoperative Complications - mortality
Time Factors
Transcatheter Aortic Valve Replacement
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Summary:Background With the introduction of transcatheter aortic valve implantation (TAVI), there is increasing interest in evaluating outcomes of aortic valve replacement (AVR) with or without (+/-) concurrent coronary artery bypass grafting (CABG) particularly in high-risk patients. We reviewed the characteristics and outcomes of octogenarians undergoing isolated AVR and AVR+CABG. Methods All patients 80 years of age or older undergoing AVR+/-CABG at Auckland City Hospital during 2005-2012 were included, and their characteristics and outcomes analysed. Results There were 93 and 104 octogenarians respectively undergoing isolated AVR and AVR+CABG with mean follow-up of 4.4+/-2.2 years and 4.1+/-2.3 years. Significant differences in baseline and operative characteristics contributed to higher EuroSCORE II (5.9 vs 6.4%, P=0.016) and STS Score (4.9 vs 6.9%, P24 hours (10.7% vs 23.1%, P
ISSN:1443-9506
1444-2892
DOI:10.1016/j.hlc.2016.04.028