Short‐ and long‐term outcomes following redo valvular surgery

Short‐ and long‐term outcomes following redo valvular surgery INTRODUCTIONThere is a trend toward an increase in the number of older patients who undergo redo valvular surgery. The mortality rate following redo valvular surgery may exceed 7.0%. In our previous report describing outcomes of redo valvular surgery, the mortality rate was 6.7% and was greater than 7.0% in patients older than 75 years.Recently, percutaneous valve‐in‐valve prostheses and sutureless valves have been used to treat high‐risk patients requiring re‐operative surgery. This has significantly reduced the short‐term mortality in these patients. We reviewed our 25 years of experience with redo valvular surgery to determine the short‐ and long‐term outcomes of redo surgery in the emerging era of transcatheter valve replacement.MATERIALS AND METHODSThis study was approved by institutional review board at Kobe City Medical Center General Hospital.We retrospectively reviewed the medical records of 414 patients (mean age, 62.8 ± 13.6 years: range, 12‐88 years) who underwent redo valvular surgery at our hospital from January 1990 to December 2015. This study was performed in accordance with the Society of Thoracic Surgery. All of the patients underwent one or more valve surgeries.This study included patients with concomitant procedures including coronary artery bypass, aortic repair, or arrhythmia surgery.In 414 patients who received redo surgery, 301 (54.2%) http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Cardiac Surgery Wiley

Short‐ and long‐term outcomes following redo valvular surgery

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Publisher
Wiley
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
0886-0440
eISSN
1540-8191
D.O.I.
10.1111/jocs.13534
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONThere is a trend toward an increase in the number of older patients who undergo redo valvular surgery. The mortality rate following redo valvular surgery may exceed 7.0%. In our previous report describing outcomes of redo valvular surgery, the mortality rate was 6.7% and was greater than 7.0% in patients older than 75 years.Recently, percutaneous valve‐in‐valve prostheses and sutureless valves have been used to treat high‐risk patients requiring re‐operative surgery. This has significantly reduced the short‐term mortality in these patients. We reviewed our 25 years of experience with redo valvular surgery to determine the short‐ and long‐term outcomes of redo surgery in the emerging era of transcatheter valve replacement.MATERIALS AND METHODSThis study was approved by institutional review board at Kobe City Medical Center General Hospital.We retrospectively reviewed the medical records of 414 patients (mean age, 62.8 ± 13.6 years: range, 12‐88 years) who underwent redo valvular surgery at our hospital from January 1990 to December 2015. This study was performed in accordance with the Society of Thoracic Surgery. All of the patients underwent one or more valve surgeries.This study included patients with concomitant procedures including coronary artery bypass, aortic repair, or arrhythmia surgery.In 414 patients who received redo surgery, 301 (54.2%)

Journal

Journal of Cardiac SurgeryWiley

Published: Jan 1, 2018

Keywords: ;

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