Surgery for simple and complex subaortic stenosis in children and young adults: Results from a prospective, procedure-based national database

Objective To identify the outcomes of surgically treated subaortic stenosis in a national population. Methods From 2000 to 2013, 1047 patients aged < 40 years underwent 1142 subaortic stenosis procedures. Of the 1047 patients, 484 (46.2%) were considered to have complex stenosis (CS) because at o...

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Veröffentlicht in:	The Journal of thoracic and cardiovascular surgery 2014-12, Vol.148 (6), p.2618-2626
Hauptverfasser:	Dorobantu, Dan M., MBBS, Sharabiani, Mansour T., PhD, Martin, Robin P., FRCP, Angelini, Gianni D., FRCS, Parry, Andrew J., FRCS, Caputo, Massimo, MD, Stoica, Serban C., FRCS
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Adult Age Factors Aortic Stenosis, Subvalvular - diagnosis Aortic Stenosis, Subvalvular - mortality Aortic Stenosis, Subvalvular - surgery Cardiac Surgical Procedures - adverse effects Cardiac Surgical Procedures - mortality Cardiothoracic Surgery Child Child, Preschool Databases, Factual Hospital Mortality Humans Infant Infant, Newborn Kaplan-Meier Estimate Postoperative Complications - mortality Postoperative Complications - surgery Proportional Hazards Models Reoperation Retrospective Studies Risk Factors Time Factors Treatment Outcome United Kingdom Young Adult
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Zusammenfassung:	Objective To identify the outcomes of surgically treated subaortic stenosis in a national population. Methods From 2000 to 2013, 1047 patients aged < 40 years underwent 1142 subaortic stenosis procedures. Of the 1047 patients, 484 (46.2%) were considered to have complex stenosis (CS) because at or before the first operation they had mitral valve (MV) disease, aortic valve disease, aortic coarctation or an interrupted aortic arch. Results The 30-day mortality was 0.7% for simple stenosis (SS), 2.3% for CS ( P = .06), and 1.6% overall. Age
ISSN:	0022-5223 1097-685X
DOI:	10.1016/j.jtcvs.2014.06.091