Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: Changes in risks, valve types, and outcomes in the Society.

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Presentation transcript:

Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: Changes in risks, valve types, and outcomes in the Society of Thoracic Surgeons National Database James M. Brown, MD, Sean M. O'Brien, PhD, Changfu Wu, PhD, Jo Ann H. Sikora, CRNP, Bartley P. Griffith, MD, James S. Gammie, MD The Journal of Thoracic and Cardiovascular Surgery Volume 137, Issue 1, Pages 82-90 (January 2009) DOI: 10.1016/j.jtcvs.2008.08.015 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Percentage use of bioprosthetic valves relative to mechanical valves from 1997 through 2006. Bioprosthetic valve use increased progressively during 10 years. Asterisk indicates P < .000001. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 82-90DOI: (10.1016/j.jtcvs.2008.08.015) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Risk-adjusted mortality for aortic valve replacement during 10 years in Society of Thoracic Surgeons database. Mortality for aortic valve replacement decreased with time. Asterisk indicates P < .01. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 82-90DOI: (10.1016/j.jtcvs.2008.08.015) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Stroke rate after aortic valve replacement (AVR) in Society of Thoracic Surgeons database from 1997 through 2006. Stroke rate decreased during 10-year study period. Asterisk indicates P < .01. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 82-90DOI: (10.1016/j.jtcvs.2008.08.015) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Mortality from aortic valve replacement among male and female patients. Female patients had greater mortality in 1997, in 2006, and in overall population. Asterisk indicates P < .01. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 82-90DOI: (10.1016/j.jtcvs.2008.08.015) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Mortality versus age in aortic valve replacement study population. Mortality was age dependent in 1997 and in 2006. For age groups as shown, mortality was less in 2006 than in 1997. Asterisk indicates P < .05. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 82-90DOI: (10.1016/j.jtcvs.2008.08.015) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 Stroke versus age in aortic valve replacement population between 1997 and 2006. Stroke rate was age dependent but also reduced as shown between 1997 and 2006. Asterisk indicates P < .05. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 82-90DOI: (10.1016/j.jtcvs.2008.08.015) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions