Outcome analysis for prediction of intraaortic balloon pump support failure and long‐term survival in high‐risk patients undergoing mitral valve surgery

2020 ◽  
Vol 44 (8) ◽  
pp. 827-836
Author(s):  
Mengya Liang ◽  
Chaoqun Wang ◽  
Kangni Feng ◽  
Guangxian Chen ◽  
Keke Wang ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Outcome Analysis ◽  
Intraaortic Balloon ◽  
Intraaortic Balloon Pump ◽  
Term Survival ◽  
Risk Patients

Minimally Invasive Mitral Valve Surgery in Truly High-Risk Patients: Are We Pushing the Boundaries? An Observational Study

2015 ◽  
Vol 10 (5) ◽  
pp. 328-333 ◽  
Author(s):  
Marco Moscarelli ◽  
Rafik Margaryan ◽  
Alfredo Cerillo ◽  
Enkel Kallushi ◽  
Pierandrea Farneti ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Minimally Invasive ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Tricuspid Valve Repair ◽  
Discrimination Power ◽  
High Risk Patients ◽  
Risk Patients

Objective This study aimed to assess in a retrospective series of truly high-risk patients who underwent minimally invasive mitral valve surgery: (1) postoperative and long-term results and (2) logistic EuroSCORE and EuroSCORE II discrimination power. Methods Between 2003 and 2013, we reviewed in our institution patients who underwent minimally invasive mitral valve surgery with or without tricuspid valve repair via right minithoracotomy with logistic EuroSCORE of 20 or higher. Results Among a total number of 1604, 88 patients were identified. Median logistic and EuroSCORE II was 27.29 (interquartile range, 15.3) and 12.7% (11.3%), respectively. Mean (SD) age was 71.9 (8.4) years; 42 were female (47.7%); 60 patients (68.1%) underwent previous sternotomy. Mitral valve was replaced in 59 (67%) and repaired in 29 (32.9%) patients; tricuspid valve repair was performed in 23 patients (26.1%). Median cardiopulmonary bypass and cross-clamp times were 157 minutes (interquartile range, 131–187 minutes) and 83 minutes (81–116 minutes), respectively; conversion to sternotomy and reopening for bleeding was necessary in 4 (4.5%) and 3 (3.4%) patients; permanent and transient neurological injuries were reported in 6 (6.8%) and 3 (3.4%) patients; acute kidney injury was reported in 13 patients (14.7%); 15 patients (17%) had pulmonary complications. Ten patients died while in the hospital (11.2%). Survival at 6 years was 78% (95% confidence interval, 69–88). Conclusions In this series of truly high-risk patients, minimally invasive mitral surgery was associated with acceptable early mortality and morbidity as well as long-term outcomes; both logistic and EuroSCORE II showed suboptimal discrimination power.

scholarly journals P1672Characteristics of long-term survival after successful transcatheter mitral valve repair in high-risk patients

2018 ◽  
Vol 39 (suppl_1) ◽  
Author(s):  
E Tigges ◽  
D Kalbacher ◽  
N Ruebsamen ◽  
D Reichart ◽  
F Deuschl ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Term Survival ◽  
Long Term Survival ◽  
High Risk Patients ◽  
Transcatheter Mitral Valve Repair ◽  
Risk Patients

Beating Heart Video-Assisted Mitral Valve Surgery: A Useful Technique for High-Risk Patients

2009 ◽  
Vol 24 (3) ◽  
pp. 312-314 ◽  
Author(s):  
Saqib Masroor ◽  
Garland Dance ◽  
Stephen J. Angeli
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Mitral Valve Surgery ◽  
Beating Heart ◽  
Valve Surgery ◽  
High Risk Patients ◽  
Video Assisted ◽  
Risk Patients

scholarly journals Preoperative Invasive Hemodynamic Determinants of Long-Term Survival in Patients Undergoing Aortic and Mitral Valve Surgery

2016 ◽  
Vol 22 (8) ◽  
pp. S112
Author(s):  
David X. Zhuo ◽  
Kenneth C. Bilchick ◽  
Sula Mazimba
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Term Survival ◽  
Long Term Survival ◽  
Hemodynamic Determinants

OC42 MINIMALLY INVASIVE MITRAL VALVE SURGERY IN HIGH-RISK PATIENTS

2018 ◽  
Vol 19 ◽  
pp. e4
Author(s):  
E. Cura Stura ◽  
D. Ricci ◽  
G. Marchetto ◽  
C. Barbero ◽  
S. El Qarra ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Minimally Invasive ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Long-term survival after mitral valve surgery for post-myocardial infarction papillary muscle rupture

2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Wobbe Bouma ◽  
Inez J Wijdh-den Hamer ◽  
Bart M Koene ◽  
Michiel Kuijpers ◽  
Ehsan Natour ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Mitral Valve ◽  
Papillary Muscle ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Post Myocardial Infarction ◽  
Papillary Muscle Rupture ◽  
Term Survival ◽  
Muscle Rupture

scholarly journals De Vega annuloplasty versus ring annuloplasty for repair of functional tricuspid regurgitation

2018 ◽  
Vol 6 (2) ◽  
pp. 422
Author(s):  
Khaled Alnawaiseh ◽  
Bashar Albkhoor ◽  
Yanal Alnaser ◽  
Hayel Aladwan ◽  
Issa Ghanma
Keyword(s):  
Mitral Valve ◽  
Tricuspid Valve ◽  
Tricuspid Regurgitation ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Term Survival ◽  
Free Survival ◽  
Ring Group ◽  
Ring Annuloplasty

Background: Tricuspid insufficiency (TI) is a functional insufficiency in most of the cases and associated with the dilatation of the annulus and remolding. Pulmonary hypertension and right ventricular volume overload due to chronic aortic or / and mitral valve disease in most of the time causes the functional tricuspid insufficiency. Despite the different techniques used to repair the tricuspid valve, the recurrent TR is still occurring in 20- 30 % of the patients and the development of late TR is an important complication of left heart surgery. Our study aims to compare the long-term outcome of ring annuloplasty with De Vega annnuloplasty in patients with secondary tricuspid regurgitation (TR).Methods: A retrospective study of 320 patients who underwent tricuspid valve repair surgery for secondary tricuspid regurgitation from January 2002 to December 2010 at Queen Alia Heart Institute (QAHI). Patients were divided into two groups, in group (1) (n=180) patients had an annuloplasty ring. Group (2) (n=140) patients had De Vega procedure (no ring). The procedures were performed in association with mitral valve surgery in 78% of patients, aortic valve surgery in 15% and combined aortic and mitral valve surgery in 7% of patients. TR grade, NYHA functional class and Pulmonary artery pressure were nearly similar and no significant preoperative difference between the two groups.Results: Echocardiographic and clinical follow up were done for all patients. The duration of procedure for both De Vega and ring annuloplasty were nearly similar. The overall survival in ring group at 5year was 83.9% versus 77.9% in De Vega group. Freedom from residual and recurrent TR, event free survival and long-term survival were significantly better in the ring group and also the tricuspid valve reoperation were less in the ring group.Conclusions: The implantation of annuloplasty ring results in lower incidence of residual or recurrent of tricuspid regurgitation, improved the event-free survival and long-term survival when compared with the sewing techniques such as De Vega.

scholarly journals Postoperative atrial fibrillation predicts long-term survival after aortic-valve surgery but not after mitral-valve surgery: a retrospective study

BMJ Open ◽  
2011 ◽  
Vol 1 (2) ◽  
pp. e000385-e000385 ◽  
Author(s):  
N. Girerd ◽  
J. Magne ◽  
P. Pibarot ◽  
P. Voisine ◽  
F. Dagenais ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Retrospective Study ◽  
Mitral Valve ◽  
Aortic Valve ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Postoperative Atrial Fibrillation ◽  
Aortic Valve Surgery ◽  
Term Survival
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