scholarly journals Preoperative Atrial Fibrillation is associated with long‐term morTality in patients undergoing suRgical AortiC valvE Replacement

2021 ◽  
Author(s):  
Mohamed Farag ◽  
Yusuf Kiberu ◽  
S. Ashwin Reddy ◽  
Ahmad Shoaib ◽  
Mohaned Egred ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Surgical Aortic Valve Replacement ◽  
Long Term Mortality

scholarly journals Preoperative Atrial Fibrillation is associated with long-term morTality in patients undergoing suRgical AortiC valvE Replacement

2021 ◽  
Author(s):  
Mohamed Farag ◽  
Yusuf Kiberu ◽  
Ashwin Reddy ◽  
Ahmad Shoaib ◽  
Mohaned Egred ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Surgery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Surgical Aortic Valve Replacement ◽  
Term Survival ◽  
The Impact ◽  
Long Term Mortality

Introduction Atrial fibrillation (AF) is frequent after any cardiac surgery, but evidence suggests it may have no significant impact on survival if sinus rhythm (SR) is effectively restored early after the onset of the arrhythmia. In contrast, management of preoperative AF is often overlooked during or after cardiac surgery despite several proposed protocols. This study sought to evaluate the impact of preoperative AF on mortality in patients undergoing isolated surgical aortic valve replacement (AVR). Methods We performed a retrospective, single-centre study involving 2,628 consecutive patients undergoing elective, primary isolated surgical AVR from 2008 to 2018. A total of 268/ 2,628 patients (10.1%) exhibited AF before surgery. The effect of preoperative AF on mortality was evaluated with univariate and multivariate analyses. Results Short-term mortality was 0.8% and was not different between preoperative AF and SR cohorts. Preoperative AF was highly predictive of long-term mortality (median follow-up of 4 years [Q1-Q3 2-7]; HR: 2.24, 95% CI: 1.79-2.79, P<0.001), and remained strongly and independently predictive after adjustment for other risk factors (HR: 1.54, 95% CI: 1.21-1.96, P<0.001) compared with preoperative SR. In propensity score-matched analysis, the adjusted mortality risk was higher in the AF cohort (OR: 1.47, 95% CI: 1.04-1.99, P=0.03) compared with the SR cohort. Conclusions Preoperative AF was independently predictive of long-term mortality in patients undergoing isolated surgical AVR. It remains to be seen whether concomitant surgery or other preoperative measures to correct AF may impact long-term survival.

IMPACT OF STROKE VOLUME RECOVERY ON LONG-TERM MORTALITY AFTER SURGICAL AORTIC VALVE REPLACEMENT

2016 ◽  
Vol 32 (10) ◽  
pp. S236
Author(s):  
A. Poulin ◽  
M. Berthelot-Richer ◽  
L. Tastet ◽  
L. Simard ◽  
D. Kalavrouziotis ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Stroke Volume ◽  
Valve Replacement ◽  
Surgical Aortic Valve Replacement ◽  
Volume Recovery ◽  
Long Term Mortality

Long-Term Mortality Effect of Early Pacemaker Implantation After Surgical Aortic Valve Replacement

2017 ◽  
Vol 104 (4) ◽  
pp. 1259-1264 ◽  
Author(s):  
Kevin L. Greason ◽  
Brian D. Lahr ◽  
John M. Stulak ◽  
Yong-Mei Cha ◽  
Robert F. Rea ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Pacemaker Implantation ◽  
Surgical Aortic Valve Replacement ◽  
Mortality Effect ◽  
Long Term Mortality

PM095 Atrial Fibrillation Independently Predicts Short And Long-Term Mortality After Aortic Valve Replacement

Global Heart ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e80-e81
Author(s):  
Tom Kai Ming Wang ◽  
David H.-M. Choi ◽  
Tharumenthiran Ramanathan ◽  
Peter Ruygrok
Keyword(s):  
Atrial Fibrillation ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Short And Long Term ◽  
Long Term Mortality

scholarly journals Surgical aortic valve replacement and patient–prosthesis mismatch: a meta-analysis of 108 182 patients

2019 ◽  
Vol 56 (1) ◽  
pp. 44-54 ◽  
Author(s):  
Michel Pompeu Barros de Oliveira Sá ◽  
Martinha Millianny Barros de Carvalho ◽  
Dário Celestino Sobral Filho ◽  
Luiz Rafael Pereira Cavalcanti ◽  
Sérgio da Costa Rayol ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Mortality Rates ◽  
Surgical Aortic Valve Replacement ◽  
Perioperative Mortality ◽  
Patient Prosthesis Mismatch ◽  
The Impact ◽  
Long Term Mortality

Abstract OBJECTIVES This study sought to evaluate the impact of patient–prosthesis mismatch (PPM) on the risk of perioperative, early-, mid- and long-term mortality rates after surgical aortic valve replacement. METHODS Databases were searched for studies published until March 2018. The main outcomes of interest were perioperative mortality, 1-year mortality, 5-year mortality and 10-year mortality. RESULTS The search yielded 3761 studies for inclusion. Of these, 70 articles were analysed, and their data were extracted. The total number of patients included was 108 182 who underwent surgical aortic valve replacement. The incidence of PPM after surgical aortic valve replacement was 53.7% (58 116 with PPM and 50 066 without PPM). Perioperative mortality [odds ratio (OR) 1.491, 95% confidence interval (CI) 1.302–1.707; P < 0.001], 1-year mortality (OR 1.465, 95% CI 1.277–1.681; P < 0.001), 5-year mortality (OR 1.358, 95% CI 1.218–1.515; P < 0.001) and 10-year mortality (OR 1.534, 95% CI 1.290–1.825; P < 0.001) were increased in patients with PPM. Both severe PPM and moderate PPM were associated with increased risk of perioperative mortality, 1-year mortality, 5-year mortality and 10-year mortality when analysed together and separately, although we observed a higher risk in the group with severe PPM. CONCLUSIONS Moderate/severe PPM increases perioperative, early-, mid- and long-term mortality rates proportionally to its severity. The findings of this study support the implementation of surgical strategies to prevent PPM in order to decrease mortality rates.

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