{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:14:28Z","timestamp":1777526068494,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2013,10,25]],"date-time":"2013-10-25T00:00:00Z","timestamp":1382659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Demand for aortic valve intervention remains high, and together with the recent introduction of transcatheter aortic valve implantation, this motivates a review of surgical aortic valve replacement in elderly recipients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Consecutive patients over 70 years of age having isolated aortic valve replacement during 2007\u201311 were retrospectively identified and divided into 70\u201379 and\u2009\u2265\u200980 years age groups for analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>62 octogenarians and 121 septuagenarians were eligible. Among octogenarians, a lower proportion were in Canadian Cardiovascular Society angina class 3\u20134 (3.2% vs. 14.0%, p\u2009=\u20090.022) and fewer had diabetes (11.3% vs. 24.8%, p\u2009=\u20090.034), but a higher proportion had infective endocarditis (6.5% vs. 0%, p\u2009=\u20090.012), and EuroSCORE II was higher (4.9% vs. 3.7%, p\u2009&lt;\u20090.001). Despite this, operative mortality was lower in octogenarians (0% vs. 7.4%, p\u2009=\u20090.029), although hospital stay (11.7 vs. 8.9 days, p\u2009=\u20090.026) was longer. One-, 3-, and 5-year survival rates were 95.2%, 90.1%, and 75.3% for octogenarians and 89.2%, 81.7%, and 70.2% for septuagenarians ( p\u2009=\u20090.398). Canadian Cardiovascular Society angina class 3\u20134 and the presence of other valvular stenosis or regurgitation were independent predictors of mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Octogenarians had lower operative mortality despite a higher predicted risk preoperatively. Other factors beyond age and EuroSCORE, such as frailty, may be important in deciding whether elderly patients should undergo aortic valve replacement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0218492313497950","type":"journal-article","created":{"date-parts":[[2013,10,25]],"date-time":"2013-10-25T22:00:53Z","timestamp":1382738453000},"page":"526-533","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Aortic valve replacement in over 70- and over 80-year olds: 5-year cohort study"],"prefix":"10.1177","volume":"22","author":[{"given":"Tom Kai Ming","family":"Wang","sequence":"first","affiliation":[{"name":"Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janarthanan","family":"Sathananthan","sequence":"additional","affiliation":[{"name":"Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Chieng","sequence":"additional","affiliation":[{"name":"Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greg D","family":"Gamble","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A","family":"Haydock","sequence":"additional","affiliation":[{"name":"Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter N","family":"Ruygrok","sequence":"additional","affiliation":[{"name":"Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand"},{"name":"Department of Medicine, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,10,25]]},"reference":[{"key":"bibr1-0218492313497950","doi-asserted-by":"crossref","unstructured":"Colombo F, Llena-Nozal A, Mercier J, Tjadens F. 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