Cardiac surgery in nonagenarians: Rethinking operative strategies in the era of TAVR and TMVR.

Sara J Pereira
Author Information
  1. Sara J Pereira: Division of Cardiothoracic Surgery, University of Utah Health, Salt Lake City, Utah, USA.

Abstract

As growth of the elderly population continues to increase alongside improvements in percutaneous and minimally invasive interventions, cardiac surgeons question the role of high-risk surgery in treating these patients. TAVR has transformed the management of symptomatic severe aortic stenosis in elderly patients and has become standard therapy for patients greater than 80 years of age. With improvements in procedural risks and technical complications for both transcatheter valves and percutaneous interventions, should we rethink the operative strategies for octogenarians and nonagenarians, particularly as they apply to concurrent high-risk operations?

Keywords

References

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MeSH Term

Age Factors
Aged
Aged, 80 and over
Aortic Valve
Aortic Valve Stenosis
Humans
Nonagenarians
Risk Factors
Transcatheter Aortic Valve Replacement
Treatment Outcome

Word Cloud

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