Sutureless versus Conventional Aortic Valve Replacement: Outcomes in 70 High-Risk Patients Undergoing Concomitant Cardiac Procedures.
| Title: | Sutureless versus Conventional Aortic Valve Replacement: Outcomes in 70 High-Risk Patients Undergoing Concomitant Cardiac Procedures. |
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| Authors: | Hanedan MO; Yuruk MA; Parlar AI; Ziyrek U; Arslan AK; Sayar U; Mataraci I |
| Source: | Texas Heart Institute journal [Tex Heart Inst J] 2018 Feb 01; Vol. 45 (1), pp. 11-16. Date of Electronic Publication: 2018 Feb 01 (Print Publication: 2018). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: published in the Cardiovascular Surgical Research Laboratories, Texas Heart Institute Country of Publication: United States NLM ID: 8214622 Publication Model: eCollection Cited Medium: Internet ISSN: 1526-6702 (Electronic) Linking ISSN: 07302347 NLM ISO Abbreviation: Tex Heart Inst J Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Houston, TX : published in the Cardiovascular Surgical Research Laboratories, Texas Heart Institute, c1982- |
| MeSH Terms: | Aortic Valve/*surgery ; Aortic Valve Insufficiency/*surgery ; Cardiac Surgical Procedures/*methods ; Heart Diseases/*surgery ; Sutureless Surgical Procedures/*methods ; Transcatheter Aortic Valve Replacement/*methods; Cardiac Surgical Procedures/mortality ; Heart Diseases/mortality ; Survival Rate/trends ; Transcatheter Aortic Valve Replacement/mortality ; Turkey/epidemiology ; Adult ; Aged ; Aged, 80 and over ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Prospective Studies ; Prosthesis Design ; Treatment Outcome |
| Abstract: | In elderly, high-risk surgical patients, sutureless aortic valve replacement (AVR) can often be an alternative to conventional AVR; shorter aortic cross-clamp and cardiopulmonary bypass times are the chief advantages. We compared the outcomes of sutureless AVR with those of conventional AVR in 70 elderly patients who underwent concomitant cardiac surgical procedures. We retrospectively analyzed the cases of 42 men and 28 women (mean age, 70.4 ± 10.3 yr; range, 34-93 yr) who underwent cardiac operations plus AVR with either a sutureless valve (group 1, n=38) or a conventional bioprosthetic or mechanical valve (group 2, n=32). Baseline patient characteristics were similar except for worse New York Heart Association functional status and the prevalence of diabetes mellitus in group 1. In group 1, the operative, cross-clamp, and cardiopulmonary bypass times were shorter (all P=0.001), postoperative drainage amounts were lower (P=0.009), hospital stays were shorter (P=0.004), and less red blood cell transfusion was needed (P=0.037). Echocardiograms before patients' discharge from the hospital showed lower peak and mean aortic gradients in group 1 (mean transvalvular gradient, 8.4 ± 2.8 vs 12.2 ± 5.2 mmHg; P=0.012). We found that elderly, high-risk patients who underwent multiple cardiac surgical procedures and sutureless AVR had better hemodynamic outcomes and shorter ischemic times than did patients who underwent conventional AVR. |
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| Contributed Indexing: | Keywords: Aged; aortic valve insufficiency/surgery/therapy; heart valve prosthesis implantation/adverse effects/instrumentation/methods/mortality; hemodynamics; prospective studies; prosthesis design; risk factors; sutureless surgical procedures/adverse effects/instrumentation/methods; time factors; treatment outcome |
| Entry Date(s): | Date Created: 20180321 Date Completed: 20180727 Latest Revision: 20260127 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC5832078 |
| DOI: | 10.14503/THIJ-16-6092 |
| PMID: | 29556145 |
| Database: | MEDLINE |
Journal Article