Quality of life after aortic valve surgery: Replacement versus reconstruction

Aicher, Diana; Holz, Annika; Feldner, Susanne K.; Köllner, Volker; Schäfers, Hans‐Joachim

doi:10.1016/j.jtcvs.2011.02.006

Cited by 108 publications

(88 citation statements)

References 22 publications

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“…However, as the late postoperative HRQoL surveys were once-only measures and consequently are not the same people as at mid-term, the apparent resolution may not be reflective of reality. Nonetheless, these late HRQoL outcomes compare favourably with a similar aged sample of VR patients in Germany evaluated for late HRQoL 29. The late HRQoL scores for Fijian sample in this current study were congruent with Aicher et al ,29 outcomes across all domains with general health (mean 57 vs 72) and vitality (mean 52 vs 68) exceeding the scores of Aicher et al 29 sample at a clinically significant level 22…”

Section: Discussionsupporting

confidence: 82%

Health-related quality of life of patients after mechanical valve replacement surgery for rheumatic heart disease in a developing country

Mangnall¹,

Sibbritt

Fry

et al. 2014

Heart Asia

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Section: Discussionsupporting

confidence: 82%

Health-related quality of life of patients after mechanical valve replacement surgery for rheumatic heart disease in a developing country

Mangnall¹,

Sibbritt

Fry

et al. 2014

Heart Asia

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“…33,34 Mechanical composite prostheses are undoubtedly superior regarding long-term durability, but lifelong anticoagulation may limit patient quality of life. 35 However, although an accumulated risk of bleeding has been described and certainly is not to be underestimated, particularly with increasing age of the recipient when bleeding complications may become more threatening, we failed to note any episodes of severe bleeding in the entire cohort during a 12-year follow-up period.…”

Section: Advantages Of Stentless Xenograft Rootsmentioning

confidence: 72%

Longevity After Aortic Root Replacement

et al. 2013

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Background— The choice of the best conduit for root/ascending disease and its impact on longevity remain controversial in quinquagenarians. Methods and Results— A total of 205 patients (men=155) between 50 and 60 years (mean, 55.7±2.9 years) received either a stentless porcine xenoroot (n=78) or a mechanically valved composite prosthesis (n=127) between February 1998 and July 2011. Of these, 166 patients underwent root replacement for aneurysmal disease (porcine: 39% [n=65]; mechanical: 61% [n=101]; P =0.5), 25 for acute type A aortic dissection (porcine: 32% [n=8]; mechanical: 68% [n=17]; P =0.51), and 14 for endocarditis/iatrogenic injury involving the aortic root (6.4% [n=5] versus 7.1% [n=9]; P =1.0). The predominant aortic valve pathology was stenosis in 19% (n=38), regurgitation in 50% (n=102), combined valvular dysfunction in 26% (n=54), and normal aortic valve function in 5% (n=11). Concomitant procedures included coronary artery bypass grafting (13%), mitral valve repair (7%), and partial/complete arch replacement (12%/4%), with no significant differences between porcine and mechanical root replacement. Overall hospital mortality was 7.3%, with no difference between the 2 types of valve prostheses (7.7% for porcine and 7.1% for mechanical root replacement; P =1.0). Follow-up averaged 5.4±3.7 years (1096 patient-years) and was 100% complete. Freedom from aorta-related reoperation at 12 years was not statistically different between the groups (porcine: 94.9% versus mechanical: 96.1%; P =0.73). Survival was equivalent between both groups, with a 5-year survival of 86±3% (porcine: 88±4%; mechanical: 85±3%; P =0.96) and a 10-year survival of 76% (porcine: 80±7%; mechanical: 75±5%; P =0.84). The linearized mortality rate was 3.1%/patient-year (porcine: 2.9%/patient-year; mechanical: 3.2%/patient-year). Conclusions— In quinquagenerians, long-term survival after stentless porcine xenograft aortic root replacement is equivalent to that after a mechanical Bentall procedure. These results bring into question the predominance of mechanical composite conduits for root replacement in quinquagenerians, particularly in the current era of transcatheter valve-in-valve procedures for structural valve deterioration.

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“…This risk can have a significant impact on young patients with an active lifestyle or on women who want to become pregnant after the operation [18,19]. Furthermore, evidence exists that patients who undergo aortic valve repair have an improved overall quality of life compared with patients who receive a mechanical valve [20]. Only a few previous comparisons have been performed on the various surgical options for aortic root pathology.…”

Section: Commentmentioning

confidence: 99%

The David V Valve-Sparing Root Replacement Provides Improved Survival Compared With Mechanical Valve-conduits in the Treatment of Young Patients With Aortic Root Pathology

Esaki

Leshnower

Binongo

et al. 2016

The Annals of Thoracic Surgery

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Quality of life after aortic valve surgery: Replacement versus reconstruction

Abstract: In young patients after aortic valve surgery quality of life is influenced by type of operation. Although differences are limited, aortic valve reconstruction and pulmonary autograft replacement lead to less long-term alteration from normal values.

Cited by 108 publications

References 22 publications

Health-related quality of life of patients after mechanical valve replacement surgery for rheumatic heart disease in a developing country

Health-related quality of life of patients after mechanical valve replacement surgery for rheumatic heart disease in a developing country

Longevity After Aortic Root Replacement

The David V Valve-Sparing Root Replacement Provides Improved Survival Compared With Mechanical Valve-conduits in the Treatment of Young Patients With Aortic Root Pathology

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