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Vol. 4 No. 1 (2024)

Valve Surgery After the Age Of 70: Evaluation Risk Factors for Hospital Mortality

Clinical Medicine And Health Research Journal, Vol. 4 No. 1 (2024), 21 February 2024 , Page 795-797
https://doi.org/10.18535/cmhrj.v4i1.316

Abstract

Objective: Valve surgery after the age of 70 is increasingly common in Algeria. The aim of this study was to identify risk factors for in-hospital mortality in this population.


Methods: 56 patients with a mean age of 72 years (70-81) underwent valve surgery between 2016 and December 2019. 32 patients (57.4%) had aortic valve replacement, 17 patients (29.7%) had mitral surgery and 07 patients (12.9%) had aorto-mitral surgery. 04 procedures (8%) were urgent. The Euroscore was used to predict operative risk. The mean additive Euroscore was 9.05 and the mean logistic Euroscore was 14.2%.


Results: Operative mortality was 3.8%. Preoperative risk factors were: NYHA III class, repeat operations, critical status according to the Euroscore,STS score , PAH, mitral surgery and tricuspid surgery. Post-operative complications were: low flow (12%), supra-ventricular arrhythmia (32.7%), renal dysfunction (14.6%), pulmonary (11%), intestinal (3.5%), infection (4%) and surgical re-exploration (6.5%). Post-operative risk factors for mortality were low flow, renal dysfunction, gastrointestinal complications and surgical re-exploration.


Conclusion: Valve surgery after the age of 70 is a low-risk procedure. Our data are correlated with the Euroscore.

Keywords:
  • Valve surgery, elderly subjects, mortality.

How to Cite

Boudiaf, E. ., abdelbaki, M. ., & AMRANE., M. . (2024). Valve Surgery After the Age Of 70: Evaluation Risk Factors for Hospital Mortality. Clinical Medicine And Health Research Journal, 4(1), 795–797. https://doi.org/10.18535/cmhrj.v4i1.316

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