Outcome After Redo-mitral Valve Replacement in Adult Patients: a 10-year Single-centre Experience

Overview

Journal Interact Cardiovasc Thorac Surg

Publisher Oxford University Press

Specialties Cardiology & Vascular Diseases
General Surgery
Pulmonary Medicine

Date 2012 Feb 2

PMID 22294560

Citations 35

Authors

Hunaid A Vohra

Robert N Whistance

Apostolos Roubelakis

Andrew Burton

Clifford W Barlow

Geoffrey M K Tsang

Steve A Livesey

Sunil K Ohri

Affiliations

Soon will be listed here.

Abstract

The aim of this study was to investigate the overall outcome of adult patients undergoing redo-mitral valve replacement (redo-MVR) at our institution. Forty-nine patients (24 males) underwent redo-MVR with either bioprosthetic (n = 24) or mechanical valves (n = 25) between January 2000 and 2010. Median age of patients was 63 years (range 21-80 years), and the mean additive EuroSCORE was 12 ± 4. Median time to re-operation was 8.2 ± 6.6 years for first time redo-MVR and 6.4 ± 5.6 years for second-time redo-MVR. Indications included prosthetic endocarditis (n = 22), para-prosthetic leak (n = 12), structural valve degeneration (n = 8), prosthetic valve thrombosis (n = 6) and malignancy (n = 1). The mean follow-up was 47.5 ± 37.0 months (range 0.1-112.3 months). In-hospital mortality was 12% (n = 6). Mean hospital stay was 17 ± 11 days (range 8-50 days). Actuarial survival at 1 and 5 years was 81 ± 5% and 72 ± 6%, respectively. Three patients required re-intervention: two for prosthetic valve endocarditis and one for para-prosthetic leak. Multivariate analysis showed that overall survival was associated with the LVEF < 50% (P < 0.001), concomitant AVR (P < 0.001) and urgent surgery (P = 0.03).

Citing Articles

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Outcome of patient undergoing redo mitral valve surgery with incidence rate of mitral valve infective endocarditis.

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Transcatheter Mitral Valve-in-Valve Implantation Applying a Long Pre-Curved Sheath for Patients with Degenerated Bioprosthetic Mitral Valve.

Liu Y, Zhai M, Xu C, Li L, Mao Y, Ma Y Rev Cardiovasc Med. 2024; 24(2):50.

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Early and long-term outcomes following redo mitral valve surgery in patients with prior minimally invasive mitral valve surgery.

Schumacher K, Marin Cuartas M, Cuesta M, Noack T, Kiefer P, Leontyev S Interdiscip Cardiovasc Thorac Surg. 2024; 38(3).

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Cardiac Structural and Functional Remodeling After Transcatheter Mitral Valve in Valve Implantation: Early Changes and Prognostic Significance.

Ayuba G, Meng Z, Baldridge A, Goyal A, Tilkens B, Shrivastav R Struct Heart. 2024; 8(2):100264.

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