Puja Gaur, MD, Tsuyoshi Kaneko, MD, Siobhan McGurk, BS, James D

Slides:



Advertisements
Similar presentations
The “occasional open heart surgeon” revisited
Advertisements

Previous coronary stents do not increase early and long-term adverse outcomes in patients undergoing off-pump coronary artery bypass grafting: A propensity-matched.
Operative outcomes in mitral valve surgery: Combined effect of surgeon and hospital volume in a population-based analysis  Arman Kilic, MD, Ashish S.
Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 
Of mice and men and surgical transcatheter aortic valve insertion
Can papillary muscle interventions improve mitral valve repair durability for ischemic mitral regurgitation?  Christos G. Mihos, DO, Orlando Santana,
Sameer A. Hirji, MD, Tsuyoshi Kaneko, MD, Sary Aranki, MD 
Reoperative aortic valve replacement in the octogenarians—minimally invasive technique in the era of transcatheter valve replacement  Tsuyoshi Kaneko,
Mitral stenosis with pulmonary hypertension: We should operate early
Sotiris C. Stamou, MD, PhD, Michael Robich, MD, MSPH, Robert E
Valve repair improves the outcome of surgery for chronic severe aortic regurgitation: A propensity score analysis  Christophe de Meester, MS, Agnès Pasquet,
Danny Ramzy, MD, PhD, Alfredo Trento, MD, Wen Cheng, MD, Michele A
Surgical treatment is decisive for outcome in chondrosarcoma of the chest wall: A population-based Scandinavian Sarcoma Group study of 106 patients  Björn.
Long-term outcomes of coronary artery bypass grafting patients supported preoperatively with an intra-aortic balloon pump  Eli Hemo, MD, Benjamin Medalion,
Right internal thoracic artery or saphenous vein grafting
POINT: Efficacy of adding mitral valve restrictive annuloplasty to coronary artery bypass grafting in patients with moderate ischemic mitral valve regurgitation:
Pulmonary hypertension in valve disease: A beast of the past?
Marc R. Moon, MD  The Journal of Thoracic and Cardiovascular Surgery 
A new approach: Ischemic mitral regurgitation guidelines by and for surgeons  Patrick M. McCarthy, MD  The Journal of Thoracic and Cardiovascular Surgery 
Functional mitral stenosis after mitral valve repair is a true anatomic problem that originates from the time of surgery  Vincent Chan, MD, MPH, Thierry.
Multilevel data analysis: What? Why? How?
It is still mostly about the mitral valve
Harold L. Lazar, MD  The Journal of Thoracic and Cardiovascular Surgery 
Surgeons, valve repair in severely unbalanced atrioventricular septal defect, and the emperor's new clothes  David M. Overman, MD  The Journal of Thoracic.
Recurrence of mitral regurgitation after partial versus complete mitral valve ring annuloplasty for functional mitral regurgitation  Michael H. Kwon,
Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model  Daniel.
Sarah A. Schubert, MD, Leora T
Natural history of coexistent tricuspid regurgitation in patients with degenerative mitral valve disease: Implications for future guidelines  Andrew B.
The variability of the mitral valve anatomy and terminology
Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin.
Quality of mitral valve surgery at the United States Department of Veterans Affairs  Juan A. Crestanello, MD  The Journal of Thoracic and Cardiovascular.
Innovation and science: The future of valve design
The role of cognitive dissonance in the management of functional tricuspid regurgitation at the time of degenerative mitral valve repair  Rakesh M. Suri,
It's not “just a shunt” but sometimes it should be…
For everything there is a season
Michele Gallo, MD, Gino Gerosa, MD 
Late outcomes comparison of nonelderly patients with stented bioprosthetic and mechanical valves in the aortic position: A propensity-matched analysis 
Transcatheter aortic valve replacement and surgical aortic valve replacement: Both excellent therapies  J. James Edelman, MBBS(Hons), PhD, Vinod H. Thourani,
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,
The Journal of Thoracic and Cardiovascular Surgery
Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass  Benjamin Medalion, MD, Michael G. Katz, MD,
Nonelective cardiac surgery in the elderly: Is it justified?
Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc 
Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD 
Niv Ad, MD, Lawrence M. Wei, MD 
Replicating the success of mitral valve repair in the aortic valve
Aortic Regurgitation With Markedly Reduced Left Ventricular Function Is Not a Contraindication for Aortic Valve Replacement  Tsuyoshi Kaneko, MD, Julius.
Increased risk of dehiscence after tricuspid valve repair with rigid annuloplasty rings  Bettina Pfannmüller, MD, Torsten Doenst, MD, PHD, Katja Eberhardt,
Influence of experience and the surgical learning curve on long-term patient outcomes in cardiac surgery  Bryan M. Burt, MD, Andrew W. ElBardissi, MD,
Passing the torch The Journal of Thoracic and Cardiovascular Surgery
Biomaterials for heart valve replacement: Conjectures and refutations
Patients with unbalanced atrioventricular canal defects can undergo the Fontan operation with good outcomes  Sitaram M. Emani, MD  The Journal of Thoracic.
Shunt right or left? Decision 2016
Warfarin or aspirin after mitral valve repair: Why work harder?
Ralph S. Mosca, MD  The Journal of Thoracic and Cardiovascular Surgery 
The Journal of Thoracic and Cardiovascular Surgery
Discussion The Journal of Thoracic and Cardiovascular Surgery
Severe tricuspid or mitral regurgitation in inoperable patients with aortic stenosis. Can we leave them alone?  Juan A. Crestanello, MD  The Journal of.
The future of cardiac surgery training: A survival guide
Another case of underprovision of mitral valve repair surgery: Lessons from the Veterans Affairs health system  Anelechi C. Anyanwu, MD, David H. Adams,
“The more things change…”: The challenges ahead
Ryan R. Davies, MD  The Journal of Thoracic and Cardiovascular Surgery 
Apples remain apples NO matter what
A large international single-center case-series of coronary artery fistulas in children: When high clinical research standards adopted globally create.
National trends in utilization and in-hospital outcomes of mechanical versus bioprosthetic aortic valve replacements  Abby J. Isaacs, MS, Jeffrey Shuhaiber,
Chordal replacement with polytetrafluoroethylene sutures for mitral valve repair: A 25- year experience  Tirone E. David, MD, Susan Armstrong, MSc, Joan.
IS local wound infection rate more important than long-term graft patency in coronary artery bypass grafting?  Tomislav Kopjar, MD, PhD, Michael R. Dashwood,
Intraoperative endocardial ultrasonography: Improving safety in mitral valve surgery  Juan A. Crestanello, MD  The Journal of Thoracic and Cardiovascular.
Zone zero thoracic endovascular aortic repair is all about “location, location, location”  Kevin L. Greason, MD  The Journal of Thoracic and Cardiovascular.
Revascularization alone (without mitral valve repair) suffices in patients with advanced ischemic cardiomyopathy and mild-to-moderate mitral regurgitation 
Presentation transcript:

Mitral valve repair versus replacement in the elderly: Short-term and long-term outcomes  Puja Gaur, MD, Tsuyoshi Kaneko, MD, Siobhan McGurk, BS, James D. Rawn, MD, Ann Maloney, BS, Lawrence H. Cohn, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 148, Issue 4, Pages 1400-1406 (October 2014) DOI: 10.1016/j.jtcvs.2014.01.032 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Kaplan-Meier survival analysis of all elderly patients undergoing mitral valve repair compared with those undergoing mitral valve replacement with (A) and without (B) coronary artery bypass graft. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1400-1406DOI: (10.1016/j.jtcvs.2014.01.032) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Cox regression analysis of 658 elderly patients with mitral regurgitation undergoing mitral valve repair (n = 556) or replacement (n = 102) demonstrates a significantly improved long-term survival of patients undergoing mitral valve repair. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1400-1406DOI: (10.1016/j.jtcvs.2014.01.032) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions