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

J Card Surg. 2022 Jun;37(6):1671-1673. doi: 10.1111/jocs.16399. Epub 2022 Mar 14.

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: TAVR; TMVR; cardiac surgery; nonagenarians.

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aortic Valve / surgery
  • Aortic Valve Stenosis* / etiology
  • Aortic Valve Stenosis* / surgery
  • Humans
  • Nonagenarians
  • Risk Factors
  • Transcatheter Aortic Valve Replacement* / adverse effects
  • Treatment Outcome