Impact of failed mitral valve repair on hospital outcome of redo mitral valve procedures

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TitreImpact of failed mitral valve repair on hospital outcome of redo mitral valve procedures
Type de publicationJournal Article
Year of Publication2017
AuteursOnorati F, Gatti G, Perrotti A, Mariscalco G, Reichart D, Milano A, Ratta EDella, Rubino A, Santarpino G, Salsano A, Biancari F, Detter C, Chocron S, Beghi C, De Feo M, Mignosa C, Fischlein T, Pappalardo A, D'Errigo P, Santini F, Faggian G
JournalEUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
Volume51
Pagination906-912
Date PublishedMAY
Type of ArticleArticle; Proceedings Paper
ISSN1010-7940
Mots-clésmitral, Mitral repair, outcome, Redo
Résumé

{OBJECTIVES: The prognostic impact of failed mitral valve repair (FMR) on in-hospital outcome after redo mitral valve surgery has not been thoroughly investigated. METHODS: Hospital outcomes after redo mitral valve surgery because of an FMR in patients from nine European centres were reported. Logistic regressions identified predictors of mortality in combined or isolated redo mitral valve operations. Hospital outcome was compared between propensity-matched cohorts with FMR and native mitral valves in the context of redo surgery and FMR versus failed prostheses. RESULTS: A total of 246 patients with FMR yielded a 6.5% mortality rate at redo surgery. FMR per se did not impact mortality at multivariable analysis (P = 0.64). A preoperative Global Initiative for Chronic Obstructive Lung Disease (GOLD) score >= 2 chronic obstructive lung disease (COPD) (OR 15.2, P < 0.01), left ventricular ejection fraction <30% (odds ratio (OR) 21.5

DOI10.1093/ejcts/ezw436