95세 환자에게 응급으로 시행한 대동맥 판막 치환술 = Emergency Aortic Valve Replacement for a 95-year-old Patient

다국어 초록 (Multilingual Abstract)

As the average age of the general population increases, a growing number of elderly patients are presenting for cardiac operations. Although aortic valve replacement in patients aged 80 years and older has been shown to have excellent outcomes with good long-term survival rates, some physicians are still hesitant to refer elderly patients for surgical intervention. A 95-years old female was admitted to our hospital with cardiogenic shock and an emergency operation was required. She was successfully treated with emergency aortic valve replacement. We report here on a case of successful emergency surgical treatment for aortic stenosis in a 95 years old woman.

국문 초록 (Abstract)

전체 인구 연령이 증가함에 따라 심장수술을 시행 받는 고령의 환자들이 많아지고 있다. 80세 이상의 고령의 환자들에게서 시행한 대동맥 판막 치환술이 훌륭한 결과와 좋은 만기 생존율을 보이고 있지만, 몇몇 내과의사들은 고령의 환자들에게 수술적 치료를 고려하는 것을 주저하고 있다. 95세 여자 환자가 심인성 쇼크를 주소로 내원하였고 응급 수술이 필요한 상태였으며 응급으로 대동맥 판막 치환술을 성공적으로 시행 받았다. 95세의 고령환자에게 성공적으로 응급 대동맥 판막 치환술을 시행하였기에 이를 보고하는 바이다.

참고문헌 (Reference)

1 Manuel MS, "Treatment and outcomes of severe cardiac disease with surgical indication in very old patients" 119 : 15-20, 2007

2 Logeais Y, "Surgery for aortic stenosis in elderly patients. A study of surgical risk and predictive factors" 90 : 2891-2898, 1994

3 Florath I, "Current determinants of operative mortality in 1400 patients requiring aortic valve replacement" 76 : 75-83, 2003

4 Gehlot A, "Aortic valve replacement in patients aged eighty years and older: early and long-term results" 111 : 1026-1036, 1996

5 Spencer JM, "Aortic valve Replacement in octogenarians: risk factors for early and late mortality" 83 : 1651-1657, 2007