TY - JOUR
AU1 - Ji, Qiang
AU2 - Wang, YuLin
AU3 - Yang, Ye
AU4 - Xia, LiMin
AU5 - Qi, XiaoMin
AU6 - Wang, ChunSheng
AB - PurposesA previous study reported that the ventricular septum is more fragile in geriatric patients, and thus myectomy may expose geriatric patients to a higher risk of serious complications. This single-center study evaluates the impacts of the advanced age on the results following myectomy for symptomatic hypertrophic obstructive cardiomyopathy (HOCM).MethodsAll eligible patients were divided into an elderly group (septuagenarians, n = 35) and a control group (patients under 70 years, n = 197). The patients were followed up for a median of 10 months. Thereafter, the perioperative and follow-up results were compared.ResultsThirteen patients (8.6% for the elderly group and 5.1% for the control group, p = 0.422) underwent immediate repeat surgery. Surgical mortality did not differ between groups (0 vs. 0.5%, p > 0.05). There was no significant difference in the incidence of complete atrioventricular block between groups (5.7 vs. 3.0%, p = 0.346). No follow-up deaths occurred in either group. The maximum gradients at the latest follow-up were significantly lower than the preoperative values in either group. Additionally, grouping (septuagenarians vs. patients under 70 years of age) was not an independent risk factor for surgical complications and results via multivariable logistic regression.ConclusionsSeptuagenarians with HOCM may obtain favorable results following septal myectomy, the same as did HOCM patients under 70 years of age.
TI - Septuagenarians with hypertrophic obstructive cardiomyopathy undergoing myectomy: the experience of a single center
JF - Surgery Today
DO - 10.1007/s00595-021-02272-y
DA - 2021-09-01
UR - https://www.deepdyve.com/lp/springer-journals/septuagenarians-with-hypertrophic-obstructive-cardiomyopathy-w7HfciRECS
SP - 1471
EP - 1479
VL - 51
IS - 9
DP - DeepDyve
ER -