Improved long-term outcome of surgical AVR for AS: Results from a population-based cohort.

To access publisher's full text version of this article click on the hyperlink below Mean age was 71 years, 65.1% were males, and mean EuroSCORE II was 3.9. Mean preoperative aortic valve area increased significantly (0.013 cm2 /year; P < .001) and mean aortic cross-clamp time declined (108...

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Bibliographic Details
Published in:Journal of Cardiac Surgery
Main Authors: Viktorsson, Sindri Aron, Vidisson, Kristjan Orri, Gunnarsdottir, Anna Gudlaug, Helgason, Dadi, Johnsen, Arni, Ingvarsdottir, Inga Lara, Sigurdsson, Martin Ingi, Geirsson, Arnar, Gudbjartsson, Tomas
Other Authors: 1 Landspitali Univ Hosp, Div Cardiothorac Surg, Hringbraut 101, Reykjavik, Iceland Show more 2 Landspitali Univ Hosp, Div Internal Med, Reykjavik, Iceland Show more 3 Landspitali Univ Hosp, Div Anesthesia & Intens Care, Reykjavik, Iceland Show more 4 Yale Sch Med, Sect Cardiac Surg, New Haven, CT USA Show more 5 Univ Iceland, Fac Med, Reykjavik, Iceland
Format: Article in Journal/Newspaper
Language:English
Published: Wiley 2019
Subjects:
aortic stenosis
aortic valve replacement
long-term outcome
population-based
survival
Hjartaaðgerðir
Heart Valve Prosthesis Implantation
Aortic Valve Stenosis
Iceland
Online Access:http://hdl.handle.net/2336/621191
https://doi.org/10.1111/jocs.14238
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Summary:To access publisher's full text version of this article click on the hyperlink below Mean age was 71 years, 65.1% were males, and mean EuroSCORE II was 3.9. Mean preoperative aortic valve area increased significantly (0.013 cm2 /year; P < .001) and mean aortic cross-clamp time declined (108 minutes, 2.8 min/year; P < .001). The rate of complications decreased, including new-onset atrial fibrillation (60.9% overall, decreased by 3.1%/year, P = .02), acute kidney injury (17.1%, 7.6%/year, P < .001), and reoperation for bleeding (12.5%, 6.3%/year, P = .02). Operative mortality did not change (5.4%); nor did 1- and 5-year overall survival (92.5% and 81.6%, respectively). Notable long-term events were chronic heart failure (27.7 admissions/100 patient-years), embolic event (15.9/100 patient-years), and bleeding (13.0/100 patient-years). University of Iceland Research Fund Helga Jonsdottir and Sigurlidi Kristjansson Memorial Fund Landspitali University Hospital Research Fund Magnus Benjaminsson and Sigridur Einarsdottir Memorial Fund

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