Impact of Aortic Valve Replacement for Severe Aortic Stenosis on Perioperative Outcomes Following Major Noncardiac Surgery

Impact of Aortic Valve Replacement for Severe Aortic Stenosis on Perioperative Outcomes Following Major Noncardiac Surgery

To compare the incidence of major adverse cardiac events and death among severe aortic stenosis patients with and without aortic valve replacement (AVR) before noncardiac surgery. We retrospectively evaluated 491 severe aortic stenosis patients undergoing non-emergency/non-urgent elevated-risk nonca...

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Veröffentlicht in:Mayo Clinic proceedings 2020-04, Vol.95 (4), p.727-737
Hauptverfasser: Luis, Sushil Allen, Dohaei, Abolfazl, Chandrashekar, Pranav, Scott, Christopher G., Padang, Ratnasari, Lokineni, Sravani, Kane, Garvan C., Crestanello, Juan A., Abel, Martin D., Nkomo, Vuyisile T., Pislaru, Sorin V., Pellikka, Patricia A.
Format: Artikel
Sprache:eng
Schlagworte:
Age
Aortic stenosis
Aortic valve
Aortic valve stenosis
Cardiac arrhythmia
Death
Electrocardiography
Heart attacks
Heart failure
Heart valve diseases
Medical prognosis
Mortality
Patients
Statistical analysis
Stenosis
Stroke
Surgery
Survival analysis
Ultrasonic imaging
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Zusammenfassung:To compare the incidence of major adverse cardiac events and death among severe aortic stenosis patients with and without aortic valve replacement (AVR) before noncardiac surgery. We retrospectively evaluated 491 severe aortic stenosis patients undergoing non-emergency/non-urgent elevated-risk noncardiac surgery between January 1, 2000, and December 31, 2013, including 203 patients (mean age, 74±10 years, 63.5% men) with previous AVR and 288 patients (mean age, 77±12 years, 55.6% men) without prior AVR. The incidence of major adverse cardiac events was significantly lower in the AVR group (5.4% vs 20.5%; P
ISSN:0025-6196
1942-5546
DOI:10.1016/j.mayocp.2019.10.038