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 of Cardiac Surgery – Wiley
Published: Jan 1, 2018
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