Durability and outcome of aortic valve replacement with mitral valve repair versus double valve replacement

Hamamoto, Masaki; Bando, Ko; Kobayashi, Junjiro; Sakurai, Toshihiko; Sasako, Yoshikado; Niwaya, Kazuo; Tagusari, Osamu; Yagihara, Toshikatsu; Kitamura, Soichiro

doi:10.1016/s0003-4975(02)04405-3

Cited by 34 publications

(39 citation statements)

References 11 publications

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“…Our study results are different from those of Gillinov et al 11 that MVP had improved long-term survival compared with MVR in patients who underwent concomitant AVR. Hamamoto et al, 8 Kuwaki et al, 9 and Grossi et al 10 In-hospital and median survival rates were better in male compared with female patients in this investigation. Inhospital mortality rate for males was 13% compared with 18% for females.…”

Section: Discussionsupporting

confidence: 45%

“…In 1992, Galloway et al 7 from New York City documented a 78% 5-year survival in 513 patients (mean follow-up, 3.1 years) who underwent DVS. In 2003, Hamamoto et al 8 from Japan published a 15-year survival of 81% for 379 patients who had aortic (AVR) and mitral (MVR) valve replacement and of 79% for 80 patients who had AVR and MV repair (MVP). In 2007, Kuwaki et al, 9 also from Japan, reported a 12-year freedom from cardiac-related death of 81% for 47 patients who had AVR and MVR and of 79% for 80 patients who had AVR and MVP.…”

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confidence: 99%

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Outcomes of Patients Undergoing Concomitant Aortic and Mitral Valve Surgery in Northern New England

et al. 2009

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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 Ͻ70 years, 18.0% for 70-to 79-year-olds, and 24% for those Ն80 years). Overall median survival was 7.3 years. Median survival without coronary artery bypass grafting was 9.5 years and with coronary artery bypass grafting was 5.7 years (PϽ0.001). Survival in women was worse than in men (7.3 versus 9.3, years, Pϭ0.033). Median survival by age was 11.0 years for patients Ͻ70 years, 5.4 years for 70-to 79-year-olds, and 4.8 years for those Ն80 years. Median survival was not significantly different for patients Ն80 years compared with those who were 70 to 79 years old (Pϭ0.245). 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 Ն70 years old and those who undergo concomitant coronary artery bypass grafting. In patients Ͻ70 years, either mechanical valves in both positions or a tissue AV and mitral repair have the lowest in-hospital mortality and the best long-term survival. In patients Ն70 years, tissue valves in both positions have the best in-hospital and long-term survival. (Circulation. 2009;120[suppl 1]:S155-S162.)

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Section: Discussionsupporting

confidence: 45%

mentioning

confidence: 99%

Outcomes of Patients Undergoing Concomitant Aortic and Mitral Valve Surgery in Northern New England

et al. 2009

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“…Our experience in this 21-year study shows that both DVR and AVR+MVrep lead to excellent long-term survival and low morbidity as comparable to other studies [4-7]. …”

Section: Discussionsupporting

confidence: 86%

“…Much of the data recently published comparing DVR to AVR+MVrep considers a heterogeneous population of patients undergoing replacement with various mechanical and bioprosthetic valves [4-6]. A major strength of this study, is that it is confined to a single prosthetic valve and hence removes the confounding influences of the different mechanical valves and the earlier structural deterioration associated with bioprosthetic valves.…”

Section: Discussionmentioning

confidence: 99%

Concomitant mitral valve surgery with aortic valve replacement: a 21-year experience with a single mechanical prosthesis

McGonigle

Jones

Sidhu

et al. 2007

J Cardiothorac Surg

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Background: Long-term survival for combined aortic and mitral valve replacement appears to be determined by the mitral valve prosthesis from our previous studies. This 21-year retrospective study assess long-term outcome and durability of aortic valve replacement (AVR) with either concomitant mitral valve replacement (MVR) or mitral valve repair (MVrep). We consider only a single mechanical prosthesis.

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“…In the majority of cases, the degree of mitral regurgitation remains mild 1+ or 2+ and will resolve spontaneously after relieving the outflow obstruction [42]. Some patients will, however, present with moderate-to-severe mitral regurgitation (3+, 4+) that may require intervention on the mitral valve.…”

Section: Mitral Regurgitation In the Setting Of Calcified Aortic Valvmentioning

confidence: 99%

Mitral valve repair or replacement in elderly people

Sfeir

Jebara²,

Ayoub³

2006

Current Opinion in Anaesthesiology

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Durability and outcome of aortic valve replacement with mitral valve repair versus double valve replacement

Cited by 34 publications

References 11 publications

Outcomes of Patients Undergoing Concomitant Aortic and Mitral Valve Surgery in Northern New England

Outcomes of Patients Undergoing Concomitant Aortic and Mitral Valve Surgery in Northern New England

Concomitant mitral valve surgery with aortic valve replacement: a 21-year experience with a single mechanical prosthesis

Mitral valve repair or replacement in elderly people

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