Abstract:Background-Few studies have examined the procedural volume-outcome relationship for heart valve surgery. None have examined process of care factors that may be mediators of this association. Methods and Results-This was a retrospective review of outcomes for 13 614 patients having elective surgery for mitral regurgitation between 2000 and 2003 in 575 North American centers participating in the Society of Thoracic Surgeons National Cardiac Database. Hospital annual mitral valve volume varied widely from 22 case… Show more
“…Patients with a predictably complex repair should undergo surgery in experienced repair centres with high repair rates, low operative mortality and a record of durable results. 127,128 When repair is not feasible, mitral valve replacement with preservation of the subvalvular apparatus is favoured. Additional tricuspid valve repair should be performed as indicated in section 8.2 (see table of recommendations on indications for tricuspid valve surgery).…”
“…Patients with a predictably complex repair should undergo surgery in experienced repair centres with high repair rates, low operative mortality and a record of durable results. 127,128 When repair is not feasible, mitral valve replacement with preservation of the subvalvular apparatus is favoured. Additional tricuspid valve repair should be performed as indicated in section 8.2 (see table of recommendations on indications for tricuspid valve surgery).…”
“…Patients with a predictably complex repair should undergo surgery in experienced repair centres with high repair rates, low operative mortality and a record of durable results. 127 …”
“…Similarly, the European Society of Cardiology (ESC) 2014 guidelines on TAD [4] primarily consist of recommendations based on level C evidence. This contrasts with the evidence base for the management of other cardiovascular conditions [5,6].…”
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