Left ventricular dysfunction after mitral valve repair—the fallacy of “normal” preoperative myocardial function Eduard Quintana, MD, Rakesh M. Suri,

Slides:

Advertisements

Similar presentations

Operative outcomes in mitral valve surgery: Combined effect of surgeon and hospital volume in a population-based analysis Arman Kilic, MD, Ashish S.

Advertisements

Transcatheter aortic valve replacement in patients with severe aortic stenosis who are at high risk for surgical complications: Summary assessment of.

Murat Ugur, MD, Rakesh M. Suri, MD, DPhil, Richard C

A 20-year experience with isolated pericardiectomy: Analysis of indications and outcomes Erin A. Gillaspie, MD, John M. Stulak, MD, Richard C. Daly,

Mitral stenosis with pulmonary hypertension: We should operate early

Juan C. Araque, MD, Kevin L. Greason, MD, Zhuo Li, MS, Courtney N

The STICH trial: Misguided conclusions

Cardiac support device, restrictive mitral valve annuloplasty, and optimized medical treatment: A multimodality approach to nonischemic cardiomyopathy

Early mitral valve surgery for chronic severe mitral regurgitation optimizes left ventricular performance and left ventricular mass regression Ken-ichi.

Valve repair improves the outcome of surgery for chronic severe aortic regurgitation: A propensity score analysis Christophe de Meester, MS, Agnès Pasquet,

Is the Anterior Intertrigonal Distance Increased in Patients With Mitral Regurgitation Due to Leaflet Prolapse? Rakesh M. Suri, MD, DPhil, Jasmine Grewal,

Mild-to-moderate functional tricuspid regurgitation in patients undergoing mitral valve surgery Sun Kyun Ro, MD, Joon Bum Kim, MD, Sung Ho Jung, MD,

Turning to the truth: Is mechanical aortic valve orientation important in transthoracic echocardiographic detection of prosthetic dysfunction and paravalvular.

Timing of valve repair for severe degenerative mitral regurgitation and long-term left ventricular function Takeshi Kitai, MD, Yukikatsu Okada, MD, Yu.

Prolonged QTc affects short-term and long-term outcomes in patients with normal left ventricular function undergoing cardiac surgery Nattachai Anantasit,

Anticoagulation early after mechanical valve replacement: Improved management with patient self-testing Jess L. Thompson, MD, Harold M. Burkhart, MD,

Surgical therapy for ischemic heart failure: Single-center experience with surgical anterior ventricular restoration Lorenzo Menicanti, MD, Serenella.

Is there an outcome penalty linked to guideline-based indications for valvular surgery? Early and long-term analysis of patients with organic mitral regurgitation

Mitral Valve Repair Is Durable in Patients With Rheumatoid Arthritis

Hirokazu Fujimoto, MD, PhD, Meghana R. K

Juan A. Crestanello, MD, Richard C. Daly, MD

Impact of Left Ventricular Systolic Function on Outcome of Correction of Chronic Severe Aortic Valve Regurgitation: Implications for Timing of Surgical.

Tricuspid annuloplasty concomitant with mitral valve surgery: Effects on right ventricular remodeling Philippe B. Bertrand, MD, MSc, Gille Koppers, MSc,

Simple versus complex degenerative mitral valve disease

Assessment of coronary artery disease risk in 5463 patients undergoing cardiac surgery: When is preoperative coronary angiography necessary? Nassir M.

Management of Mild Aortic Stenosis at the Time of Coronary Artery Bypass Surgery: Should the Valve Be Replaced? Basar Sareyyupoglu, MD, Thoralf M. Sundt,

Natural history of coexistent tricuspid regurgitation in patients with degenerative mitral valve disease: Implications for future guidelines Andrew B.

Is subvalvular repair worthwhile in severe ischemic mitral regurgitation? Subanalysis of the Papillary Muscle Approximation trial Francesco Nappi, MD,

Vikas Sharma, MBBS, Rakesh M. Suri, MD, DPhil, Joseph A

Surgical ablation for atrial fibrillation for two decades: Are the results of new techniques equivalent to the Cox maze III procedure? John M. Stulak,

Open aortic arch reconstruction after previous cardiac surgery: Outcomes of 168 consecutive operations Eduard Quintana, MD, FETCS, Pietro Bajona, MD,

Echocardiography underestimates the aortic root diameter in patients with bicuspid aortic valve, but short-axis imaging can help Hector I. Michelena,

The role of cognitive dissonance in the management of functional tricuspid regurgitation at the time of degenerative mitral valve repair Rakesh M. Suri,

Mitral valve repair in heart failure: Five-year follow-up from the mitral valve replacement stratum of the Acorn randomized trial Michael A. Acker, MD,

John M. Stulak, MD, Joseph A. Dearani, MD, Harold M

Do differences in early hemodynamic performance of current generation biologic aortic valves predict outcomes 1 year following surgery? Nassir M. Thalji,

Decision support in surgical management of ischemic cardiomyopathy

Apical myectomy: A new surgical technique for management of severely symptomatic patients with apical hypertrophic cardiomyopathy Hartzell V. Schaff,

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

Joseph A. Dearani, MD, Michael J. Ackerman, MD, PhD

Left ventricular dysfunction after degenerative mitral valve repair: A question of better molecular targets or better surgical timing? Jordan D. Miller,

The empire strikes back: Surgical ventricular reconstruction works very well in Japan Lorenzo A. Menicanti, MD The Journal of Thoracic and Cardiovascular.

Jerry Braun, MD, Nico R. van de Veire, MD, Robert J. M

Replicating the success of mitral valve repair in the aortic valve

John M. Stulak, MD, Rakesh M. Suri, MD, DPhil, Joseph A

Mycobacterium chimaera: The ethical duty to disclose the minimal risk of infection to exposed patients Anita Nguyen, MBBS, C. Christopher Hook, MD, Joseph.

Morgan L. Brown, MD, Hartzell V. Schaff, MD, Zhuo Li, MS, Rakesh M

Indexed Left Ventricular Dimensions Best Predict Survival After Aortic Valve Replacement in Patients With Aortic Valve Regurgitation Morgan L. Brown,

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Robotic mitral valve repair for all prolapse subsets using techniques identical to open valvuloplasty: Establishing the benchmark against which percutaneous.

Rakesh M. Suri, MD, DPhil, Joseph A

Survival Advantage and Improved Durability of Mitral Repair for Leaflet Prolapse Subsets in the Current Era Rakesh M. Suri, MD, DPhil, Hartzell V. Schaff,

Anomalous coronary artery origin from the pulmonary artery: correlation between surgical timing and left ventricular function recovery Guido Michielon,

Warfarin or aspirin after mitral valve repair: Why work harder?

Innovation in cardiothoracic surgical training

Mitral regurgitation surgery in patients with ischemic cardiomyopathy and ischemic mitral regurgitation: Factors that influence survival Simon Maltais,

Constantine L. Athanasuleas, MD, FACC

Defining Patient-Prosthesis Mismatch and Its Effect on Survival in Patients With Impaired Ejection Fraction David A. Cotoni, DO, Robert T. Palac, MD,

Suture technique does not affect hemodynamic performance of the small supra-annular Trifecta bioprosthesis Murat Ugur, MD, John G. Byrne, MD, MBA, FACC,

Discussion The Journal of Thoracic and Cardiovascular Surgery

Basar Sareyyupoglu, MD, Hartzell V. Schaff, MD, Rakesh M

Risk of recurrent gastrointestinal bleeding after aortic valve replacement in patients with Heyde syndrome Jess L. Thompson, MD, Hartzell V. Schaff,

Prosthesis–patient mismatch after aortic valve replacement predominantly affects patients with preexisting left ventricular dysfunction: Effect on survival,

Recovery of left ventricular function after surgical correction of mitral regurgitation caused by leaflet prolapse Rakesh M. Suri, MD, DPhil, Hartzell.

John M. Stulak, MD, Joseph A. Dearani, MD, Harold M

Ryan R. Davies, MD The Journal of Thoracic and Cardiovascular Surgery

Relationship between left ventricular mass, wall thickness, and survival after subaortic septal myectomy for hypertrophic obstructive cardiomyopathy

A prospective, randomized comparison of 3 contemporary bioprosthetic aortic valves: Should hemodynamic performance influence device selection? Rakesh.

The prognostic impact of concomitant coronary artery bypass grafting during aortic valve surgery: Implications for revascularization in the transcatheter.

Left atrial to left ventricle bypass for mitral valve stenosis

Presentation transcript:

Left ventricular dysfunction after mitral valve repair—the fallacy of “normal” preoperative myocardial function Eduard Quintana, MD, Rakesh M. Suri, MD, DPhil, Nassir M. Thalji, MBChB, Richard C. Daly, MD, Joseph A. Dearani, MD, Harold M. Burkhart, MD, Zhuo Li, MSc, Maurice Enriquez-Sarano, MD, Hartzell V. Schaff, MD The Journal of Thoracic and Cardiovascular Surgery Volume 148, Issue 6, Pages 2752-2762 (December 2014) DOI: 10.1016/j.jtcvs.2014.07.029 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Change in left ventricular (LV) end-diastolic diameter (LVEDD) and LV end-systolic diameter (LVESD) between preoperative and early postoperative echocardiograms. Top, Among patients without postoperative LV impairment (ejection fraction [EF] ≥ 50%), (A) LVEDD and (B) LVESD declined after mitral valve repair. Bottom, In those with postoperative LV dysfunction (EF < 50%), (C) LVEDD decreased and (D) LVESD increased after surgical valve repair. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 2752-2762DOI: (10.1016/j.jtcvs.2014.07.029) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Evolution of echocardiographic data during follow-up compared in both groups according to early postoperative left ventricular ejection fraction (LVEF) < 50% or ≥50% at different time points after mitral valve repair. Comparison of (A) LVEF and (B) left ventricular end-diastolic diameter (LVEDD) (black) and left ventricular end-systolic diameter (LVESD) (gray). The Journal of Thoracic and Cardiovascular Surgery 2014 148, 2752-2762DOI: (10.1016/j.jtcvs.2014.07.029) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Relationship between early ejection fraction (EF) after mitral valve repair and hazard of late death. Hazard ratio and 95% confidence intervals (dotted lines) for the risk of overall mortality, with the left ventricular EF represented as a spline function. Lower postoperative EF was associated with a greater late risk of late death. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 2752-2762DOI: (10.1016/j.jtcvs.2014.07.029) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Comparison of overall long-term survival stratified by early left ventricular dysfunction (threshold left ventricular ejection fraction [EF] < 40%). The Journal of Thoracic and Cardiovascular Surgery 2014 148, 2752-2762DOI: (10.1016/j.jtcvs.2014.07.029) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions