Early and Late Outcomes Following Valve Sparing Aortic Root Reconstruction: The ANZSCTS Database

Heart, Lung & Circulation
Vikrant DhurandharPaul G Bannon

Abstract

Valve sparing aortic root reconstruction (VSARR) has become an alternative to traditional aortic root replacement with a valved conduit. There have been various modifications but the two broad types are aortic root reimplantation and the aortic root remodelling procedure. We present the early and late outcomes following valve sparing aortic root reconstruction surgery in Australia. We reviewed the ANZSCTS database for patients undergoing these procedures. Preoperative, intraoperative and postoperative variables were analysed. Multivariable regression was performed to determine independent predictors of 30-day mortality. We also obtained five- and 10-year survival estimates by cross-linking the ANZSCTS database with the Australian Institute of Health and Welfare's National Death Index. Between January 2001 and January 2012, 169 consecutive patients underwent VSARR procedures. The mean age of the study population was 54.4 years with 31.4% being females. Overall, nine patients (5.9%) died within 30 days post procedure and five patients (3%) had permanent strokes. However, out of 132 elective cases, only five patients died (3.8%). Independent predictors of 30-day mortality were female gender [OR 5.65(1.24-25.80), p=0.025], preopera...Continue Reading

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Citations

Jun 18, 2019·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Eilon RamEhud Raanani
May 15, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Markus LiebrichVladimir Voth
Apr 23, 2021·Health Research Policy and Systems·Mitchell N SarkiesChris Reid

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