Abstract
Our aims were to investigate the short and midterm clinical outcomes of surgery in patients with aortic stenosis aged 80 years or older undergoing AVR with concomitant coronary artery bypass grafting (CABG). Between January 2006 and January 2013, 44 patients aged 80 years and older underwent AVR with concomitant CABG. The mean age was 83.5±3.0 years, 20 patients (45%) were in New York Heart Association (NYHA) class III–IV. The mean logistic EuroSCORE was 17.5±13.4. The mean valve area was 0.75±0.41 cm2, and the mean peak gradient was 78.7±36.5 mmHg. All patients were treated with bioprostheses. The mean number of grafts were 1.8±1.0. No hospital mortality occurred. Postoperative complications were respiratory failure, gastrointestinal bleeding, AV block, and refractory pleural effusion. Median hospital stays were 22 days. The NYHA class at 30 days improved from 2.4±1.0 to 1.3±0.6 (p<0.01). Survival rates at 1 and 3 years were 100% and 74.4±12.3%. AVR with concomitant CABG in elderly patients can be performed at low risk and its risk should not be overestimated in the era of transcatheter aortic valve implantation.
