Outcomes of Patients Undergoing Third-Time Aortic or Mitral Valve Replacement

Elhmidi, Yacine; Günzinger, Ralf; Deutsch, Marcus-André; Badiu, Catalin Constantin; Krane, Markus; Lange, Rüdiger

doi:10.1111/jocs.12232

Cited by 5 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thirty-day mortality in patients with TAV-in-REDO SAV (4%) was lower than that reported after third-time SAVR (12% 4 –21.1% 3 ). The need for a second valve rate (8%) was relatively higher than that after TAV-in-SAV (4.6%) and after TAVR in native valve.…”

contrasting

confidence: 54%

Valve-in-Valve Transcatheter Aortic Valve Replacement Following 2 Surgical Aortic Valve Replacements

Moubarak,

Gupta,

Ladner

et al. 2023

Circ: Cardiovascular Interventions

View full text Add to dashboard Cite

contrasting

confidence: 54%

Valve-in-Valve Transcatheter Aortic Valve Replacement Following 2 Surgical Aortic Valve Replacements

Moubarak,

Gupta,

Ladner

et al. 2023

Circ: Cardiovascular Interventions

View full text Add to dashboard Cite

“…Elhmidi et al reported on a 30-day mortality of 35%. 5 Strikingly better results were reported by Shaikhrezai et al with an in-hospital mortality rate of 4.1%. In this cohort of patients, more than 65% of the patients had undergone previous homograft placement.…”

Section: Discussionmentioning

confidence: 83%

“…Elhmidi et al reported on a mortality rate of 25%, and Expósito et al stated 18.8%. 5,16,17 Reported results for primary redo mitral surgery is associated with a nonuniform mortality rate similar to redo AVR. Kothari et al reported a total mortality of 29.2% for redo MVR.…”

Section: Discussionmentioning

confidence: 99%

“…2 Whether and how third-time or more sternotomy operations further augment the surgical hazard remain unclear as only limited literature is available in this regard. [3][4][5][6] We reviewed our institutional experience of 25 years based on two generations of cardiac surgeons in a university medical center of average size in Germany to document the frequency of the various types of open heart procedures and its complications, as well as outcome.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

25 Years' Experience with Redo Operations in Cardiac Surgery—Third-Time Sternotomy Procedures

Rupprecht

Schopka

Keyser

et al. 2020

Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Background Over the years, open heart surgery has become more complex, and especially reoperative surgery, more demanding. The risk of third-time or more sternotomy procedures is unclear. Methods We reviewed our institutional experience of 25 years based on two generations of cardiac surgeons in a German university medical center to document frequency, outcome, and complications of the various types of open heart procedures. Results Overall, we included 104 patients with a mean age of 64 ± 13 years. The EuroSCORE II (European System for Cardiac Operative Risk Evaluation) calculated an average mortality risk of 15.7 ± 15.4%. Subgroup comparison of isolated coronary artery bypass grafting (CABG), aortic valve replacement, and mitral valve replacement procedures did not delineate significantly different risk profiles except for the incidence of acute myocardial infarction, which was present in every second patient (53.3%) scheduled for CABG surgery. The time interval to previous surgery was 4.7 ± 6.3 years on average. Most frequent surgical procedures were valve operations, which were accomplished in 72 patients (69.2%), whereas coronary bypass surgery was performed in 23 patients (22.1%) only. Combined procedures were performed in 27 patients. Complex aortic arch replacement with a frozen elephant trunk procedure was necessary in six patients. Overall, 30-day survival was 81.7%. Conclusion In conclusion, third-time and more sternotomy procedures offer acceptable outcome and should therefore be considered in appropriate patients.

show abstract

“…Thirty day and midterm mortality are reported to be 19% and 31% respectively in a small series of patients who underwent third-time valve surgery. 7) On the other hand, there have been reports of uneventful midterm-up to 5 years from diagnosis-follow up of uncomplicated MAIVF-Ps. 8) 9) Generally, a watchful waiting approach with serial imaging and referral for operation should complications or rapid expansion ensue, may be valid for asymptomatic patients with high operative risk.…”

Section: Discussionmentioning

confidence: 99%

Mitral-Aortic Intervalvular Fibrosa Pseudoaneurysm

Bonou

Papadimitraki

Vaina

et al. 2015

J Cardiovasc Ultrasound

View full text Add to dashboard Cite

Pseudoaneurysm of the mitral aortic intervalvular fibrosa (MAIVF-P) usually ensues as a complication of endocarditis or aortic valve surgery. When large, symptomatic or related to complications (rupture, compression of adjacent structures, embolic events, mitral regurgitation or heart failure) it warrants surgical excision. The natural course of uncomplicated/asymptomatic MAIVF-Ps is largely unknown since most patients are offered surgery. Increased surgical risk imposed by repeat operations in the majority of these patients is an important consideration and conservative treatment should not be excluded in selected cases. Herein we present two illustrative cases of MAIVF-P manifesting with significant arrhythmogenesis and complex endocarditis respectively. Both patients were managed conservatively. By briefly reviewing the existing literature, we discuss important diagnostic and therapeutic issues for MAIVF-Ps. To our knowledge complex ventricular arrhythmia has not been previously described as a prominent manifestation of MAIVF-P.

show abstract

Outcomes of Patients Undergoing Third-Time Aortic or Mitral Valve Replacement

Abstract: Third-time aortic or mitral valve replacement is a rare procedure but accompanied with high morbidity and mortality, especially in patients with prosthetic valve endocarditis.

Cited by 5 publications

References 25 publications

Valve-in-Valve Transcatheter Aortic Valve Replacement Following 2 Surgical Aortic Valve Replacements

Valve-in-Valve Transcatheter Aortic Valve Replacement Following 2 Surgical Aortic Valve Replacements

25 Years' Experience with Redo Operations in Cardiac Surgery—Third-Time Sternotomy Procedures

Mitral-Aortic Intervalvular Fibrosa Pseudoaneurysm

Contact Info

Product

Resources

About