THE INFLUENCE OF FRAILTY ON PATIENTS UNDERGOING MITRAL SURGERY
The current tendency to ageing populations leads to increased degenerative pathology. Frailty, defined as a low capability to recover from pathogenic stressors due to aging related deterioration, plays a role in cardiovascular diseases as it increases operative risk and alters the postoperative prognosis and quality of life. Degenerative valve diseases occur more frequently in the elderly and register a clinical course in this group of patients. The aim of the current review is to evaluate the frailty scoring systems and their utility in cardiac surgery but also to highlight the particularities of surgical care in degenerative mitral valve diseases occurring in frail patients. Rigorous preoperative selection and functional status improvement is mandatory in order to maintain a relatively low complication rate. Long-term benefits regarding the duration and quality of life makes the operational risk acceptable by correcting a pathology that threatens the life expectancy of the elderly patients on short term. The geriatric patient's approach is multidisciplinary and involves creating a heart team based on the collaboration of geriatric doctors, anesthetists, cardiologists, internal medicine, cardiac surgeons and related specialties for early diagnosis, treatment and management of the complications.
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