Abstract
【Purpose】We aimed to evaluate the outcomes of and the quality of life (QOL) after conventional aortic valve replacement
(AVR) amongst octogenarians.
【Methods】We enrolled 48 patients aged ≥ 80 years who underwent conventional aortic valve replacement between May
1999 and November 2012. Patient conditions were assessed before surgery, at 6 and 12 months after surgery, and during the
late period regarding the need for nursing care, degree of independent living, and living willingness.
【Results】The follow-up rate was 100% with 45.6 ± 41.3 months follow-up. Two patients (4%) died during hospitalization and
11 (23%) died during the follow-up period. The 1-, 5-, and 10-year survival rates were 84.9, 76.9, and 39.6%, respectively.
During the late period, of 35 surviving patients, 31 (88%) were living at home. The degree of independent living score
decreased after surgery. However, scores of the need for nursing care and living willingness remained preoperative level.
【Conclusions】QOL following conventional aortic valve replacement for elderly patients aged ≥80 years who showed inde pendence in activities of daily living (ADL) before surgery were satisfactory. Therefore, aortic valve replacement could be a
viable option for elderly patients aged ≥ 80 years after accounting for preoperative ADL levels.
