Outcomes of patients undergoing concomitant aortic and mitral valve surgery in northern new England
| Autor: | Yvon R. Baribeau, Cathy S. Ross, Robert S. Kramer, Donato Sisto, Richard A Boss, Richard P. Cochran, Gerald T. O'Connor, Elaine M. Olmstead, Robert A. Clough, Donald S. Likosky, Reed D. Quinn, Anthony W. DiScipio, Bruce J. Leavitt |
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| Rok vydání: | 2009 |
| Předmět: |
Aortic valve
Adult Male medicine.medical_specialty medicine.medical_treatment Revascularization law.invention law Physiology (medical) Internal medicine Mitral valve Cardiopulmonary bypass medicine Humans Hospital Mortality Prospective Studies Coronary Artery Bypass Prospective cohort study Aged Aged 80 and over business.industry Middle Aged Surgery medicine.anatomical_structure Treatment Outcome Master file Concomitant Aortic Valve Cardiology Mitral Valve Female Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Circulation. 120 |
| ISSN: | 1524-4539 |
| Popis: | Background— Concomitant aortic (AV) and mitral (MV) valve surgery accounts for 4% of all valve procedures in northern New England. We examined in-hospital and long-term mortality. Methods and Results— This is a report of a prospective study of 1057 patients undergoing concomitant AV and MV surgery from 1989 to 2007. The Social Security Administration Death Master File was used to assess long-term survival. Kaplan–Meier and log-rank tests were performed. In-hospital mortality was 15.5% (11.0% for patients P P =0.033). Median survival by age was 11.0 years for patients P =0.245). Conclusions— Double-valve surgery has a high in-hospital mortality rate and a median survival of 7.3 years. After patients have survived surgery, long-term survival is similar between men and women, smaller and larger patients, and those receiving MV repair or replacement. Survival continues to decline after surviving surgery for patients ≥70 years old and those who undergo concomitant coronary artery bypass grafting. In patients |
| Databáze: | OpenAIRE |
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