Emergency mitral valve replacement in the octogenarian

Ann Thorac Surg. 2003 Jul;76(1):269-71. doi: 10.1016/s0003-4975(03)00153-x.

Abstract

Acute mitral regurgitation secondary to a ruptured papillary muscle or primary chord, in the setting of profound cardiogenic shock, is one of the more challenging cases in adult cardiac surgery. Some would consider such a clinical situation in an octogenarian futile and, in the current era of health care cost containment, a potential waste of resources. We present two such cases with successful outcomes.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Aged, 80 and over
  • Cardiac Catheterization
  • Cardiopulmonary Bypass / methods
  • Echocardiography, Doppler
  • Emergencies
  • Female
  • Follow-Up Studies
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Male
  • Mitral Valve / physiopathology
  • Mitral Valve Insufficiency / diagnosis*
  • Mitral Valve Insufficiency / surgery*
  • Papillary Muscles / injuries*
  • Risk Assessment
  • Rupture, Spontaneous / diagnosis
  • Rupture, Spontaneous / surgery
  • Severity of Illness Index
  • Treatment Outcome