Isolated Mitral Valve Surgery: The Society of Thoracic Surgeons Adult Cardiac Surgery Database Analysis

The Annals of Thoracic Surgery
James S GammieRachael W Quinn

Abstract

Data from The Society of Thoracic Surgeons Adult Cardiac Surgery Database were analyzed to identify trends in patient characteristics and outcomes of mitral valve operations in North America. All patients with isolated primary mitral valve operations with or without tricuspid valve repair, surgical atrial fibrillation ablation, or atrial septal defect closure performed July 2011 to September 2016 were identified. A subgroup analysis assessed patients with degenerative leaflet prolapse (DLP). Isolated primary mitral valve operations were performed on 87,214 patients at 1,125 centers, increasing by 24% between 2011 (n = 14,442) and 2016 (n = 17,907). The most common etiology was DLP (60.7%); 4.3% had functional mitral regurgitation. Preoperatively, 47.3% of patients had an ejection fraction less than 60% and 34.2% had atrial fibrillation. Overall mitral valve repair rate was 65.6%, declining from 67.1% (2011) to 63.2% (2016; p < 0.0001). Repair rates were related to etiology (DLP, 82.5%; rheumatic, 17.5%). Of the 29,970 mitral valve replacements, 16.2% were preceded by an attempted repair. Repair techniques included prosthetic annuloplasty (94.3%), leaflet resection (46.5%), and artificial cord implantation (22.7%). Bioprosthetic...Continue Reading

Citations

Dec 6, 2018·Seminars in Cardiothoracic and Vascular Anesthesia·Mohammed AlreshidanVinay Badhwar
Sep 11, 2019·Journal of Internal Medicine·M KastengrenM Dalén
Jan 30, 2020·JAMA Cardiology·Nir FlintRobert J Siegel
May 8, 2020·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Douglas A Murphy
Jul 2, 2020·JAMA Cardiology·Vinay BadhwarDavid M Shahian
Jul 23, 2020·Journal of the American Heart Association·David Messika-ZeitounMaurice Enriquez-Sarano
Aug 3, 2020·Current Opinion in Cardiology·Gerald M Lawrie
Aug 20, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Samuel S AhnJohn Blebea
Jul 2, 2019·Circulation Journal : Official Journal of the Japanese Circulation Society·Hiroyuki NishiUNKNOWN Japan Cardiovascular Surgery Database Organization
Feb 6, 2020·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Benjamin M CohnTom C Nguyen
Aug 28, 2020·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Dominique VervoortTom C Nguyen
May 23, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Marcel WeberGeorg Nickenig
May 16, 2019·The New England Journal of Medicine·Gregg W StoneUNKNOWN COAPT Investigators
Nov 21, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Gregg W Stone, Ottavio Alfieri
Jun 19, 2019·Journal of Cardiac Surgery·Mohamad AlkhouliChris C Cook
Feb 23, 2019·Seminars in Cardiothoracic and Vascular Anesthesia·Nirvik PalMiklos D Kertai
Aug 31, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Peter ChiuY Joseph Woo
May 3, 2019·European Journal of Preventive Cardiology·Nina Ajmone Marsan
Sep 14, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mikael KastengrenMagnus Dalén
May 16, 2019·The New England Journal of Medicine·Dimitri KalavrouziotisSiamak Mohammadi
Oct 11, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·James S GammieMichael N D'Ambra
Jul 23, 2020·The Annals of Thoracic Surgery·Vincent ChanMarc Ruel
Jan 20, 2021·Journal of Cardiac Surgery·Yaron D BaracDonald D Glower
Jul 28, 2020·The Annals of Thoracic Surgery·Alexander P NissenTom C Nguyen
Nov 3, 2020·Journal of Cardiac Surgery·William Z ChancellorGorav Ailawadi
Jan 17, 2021·The Journal of Thoracic and Cardiovascular Surgery·Caroline M Komlo, T Sloane Guy
Mar 5, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Daniel H Drake
Feb 23, 2021·Journal of Cardiac Surgery·Stephanie Lauren WayneAubrey Anthony Almeida
Feb 25, 2021·Expert Review of Medical Devices·Karel M Van PraetVolkmar Falk
Mar 6, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·James S Gammie, Michael N D'Ambra
Mar 9, 2021·The Journal of Thoracic and Cardiovascular Surgery·Patrick M McCarthy
Mar 7, 2021·The Journal of Thoracic and Cardiovascular Surgery·Jérémy BernardSiamak Mohammadi
Mar 10, 2021·The Journal of Thoracic and Cardiovascular Surgery·Maxwell F KilcoyneTom C Nguyen
Dec 17, 2020·The Journal of Thoracic and Cardiovascular Surgery·Vinay BadhwarJ Scott Rankin
Mar 31, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Peyman Sardari NiaJos G Maessen
Sep 27, 2020·The Journal of Thoracic and Cardiovascular Surgery·J James Edelman, Vinod H Thourani
Dec 6, 2020·Mayo Clinic Proceedings·Vibhu ParchaPankaj Arora
Sep 30, 2019·The Annals of Thoracic Surgery·Alberto WeberThierry Carrel

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Artificial Heart & Ventricular Assist Devices

Total artificial hearts (TAH) and ventricular assist devices (VADs) provide cardiac support for patients with end-stage heart disease and have significantly improved the survival of these patients. Discover the latest research on Artificial Heart and Ventricular Assist Devices here.