Long-term results after surgical treatment of paravalvular leak in the aortic and mitral position Ismail Bouhout, MD, MSc, Amine Mazine, MD, MSc, Aly.

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Presentation transcript:

Long-term results after surgical treatment of paravalvular leak in the aortic and mitral position Ismail Bouhout, MD, MSc, Amine Mazine, MD, MSc, Aly Ghoneim, MD, Xavi Millàn, MD, Ismail El-Hamamsy, MD, PhD, Michel Pellerin, MD, Raymond Cartier, MD, Phillipe Demers, MD, MSc, Yoan Lamarche, MD, MSc, Denis Bouchard, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 151, Issue 5, Pages 1260-1266.e1 (May 2016) DOI: 10.1016/j.jtcvs.2015.11.046 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Aortic and (B) mitral paravalvular leak prevalence in each clock position according to the native valve anatomy. LCS, Left coronary sinus; RCS, right coronary sinus; NCS, noncoronary sinus; AML, anterior mitral leaflet; PML, posterior mitral leaflet. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1260-1266.e1DOI: (10.1016/j.jtcvs.2015.11.046) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Cumulative survival after surgical treatement of paravalvular leak. B, Cumulative survival in the mitral valve replacement and aortic valve replacement groups. Dashed lines show 95% confidence intervals. MVR, Mitral valve replacement; AVR, aortic valve replacement. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1260-1266.e1DOI: (10.1016/j.jtcvs.2015.11.046) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Freedom from NYHA functional class III or IV. Dashed lines show 95% confidence intervals. NYHA, New York Heart Association. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1260-1266.e1DOI: (10.1016/j.jtcvs.2015.11.046) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Cumulative incidence of paravalvular leak recurrence. Dashed lines show 95% confidence intervals. PVL, Paravalvular leak. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1260-1266.e1DOI: (10.1016/j.jtcvs.2015.11.046) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E2 Cumulative incidence of paralvalvular leak recurrence in the mitral and aortic valve replacement groups. Dashed lines show 95% confidence intervals. PVL, Paravalvular leak. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1260-1266.e1DOI: (10.1016/j.jtcvs.2015.11.046) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E3 Freedom from first rehospitalization for heart failure. Dashed lines show 95% confidence intervals. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1260-1266.e1DOI: (10.1016/j.jtcvs.2015.11.046) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Survival after surgical correction of mitral and/or aortic paravalvular leak. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1260-1266.e1DOI: (10.1016/j.jtcvs.2015.11.046) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions