What are the benefits of a minimally invasive approach in frail octogenarian patients undergoing aortic valve replacement？  

作　　者：Yusuf S Abdullahi Leonidas V Athanasopoulos Marco Moscarelli Roberto P Casula Giuseppe Speziale Khalil Fattouch Sebastiano Castrovinci Thanos Athanasiou 

机构地区：[1]Department of Cardiothoracic Surgery, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UK [2]National Heart and Lung Institute (NHLI), Imperial College London, UK [3]GVM Care & Research Unit, Anthea Hospital, Bari, Italy [4]Department of Surgery and Cancer, Imperial College, London, UK [5]GVM Care & Research Unit, Maria Eleonora Hospital, Palermo, Italy

出　　处：《Journal of Geriatric Cardiology》2016年第6期514-516,共3页老年心脏病学杂志（英文版）

摘　　要：A best evidence topic was devised in light of a structured protocol. What is the advantage of （minl＂mally invasive） approach in （frail patients） undergoing （aortic valve replacement）？ In cardiac outpatient clinic you review an 85-year old male with severe aortic valve stenosis, low left ventricular ejection fraction and creatinine clearance of less than 50 mL/min. Other comorbidities include treated pulmonary hypertension, mild cognitive impairment, marked limitation of ordinary physical activity and depression. You resolve to determine whether to recommend mim＇mally invasive or conventional aortic valve replacement （AVR） or transcathe- ter aortic valve implantation （TAVI）, however you are not sure of the differences of the impact of frailty on preopera- tive risk for each approach; hence you investigate the best evidence on the topic.

关 键 词：Aortic valve stenosis Elderly patients Minimally invasive surgery Transcatheter aortic valve implantation 

分 类 号：S858.31[农业科学—临床兽医学] TS201.22[农业科学—兽医学]