Trend in mitral valve prostheses of choice and early outcomes in the United Kingdom

Despite the superiority of mitral valve repair, surgical mitral valve replacement (SMVR) remains an important intervention for patients with valve stenosis, infective endocarditis and complex mitral valve degeneration. There has been an increasing popularity in the worldwide use of biological valves...

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Bibliographic Details
Published in:International journal of cardiology 2024-02, Vol.397, p.131607-131607, Article 131607
Main Authors: Chan, Jeremy, Narayan, Pradeep, Fudulu, Daniel P, Dong, Tim, Angelini, Gianni D
Format: Article
Language:English
Subjects:
Adult
Aged
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - methods
Humans
Middle Aged
Mitral Valve - surgery
Risk Factors
Treatment Outcome
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Summary:Despite the superiority of mitral valve repair, surgical mitral valve replacement (SMVR) remains an important intervention for patients with valve stenosis, infective endocarditis and complex mitral valve degeneration. There has been an increasing popularity in the worldwide use of biological valves due to the avoidance of long-term anti-coagulation and recent advancements in transcatheter techniques. We aim to evaluate the trend, early clinical outcomes and the choice of prostheses use in isolated SMVR over a 23 years period in the United Kingdom. All patients (n = 13,147) who underwent elective or urgent isolated SMVR from March 1996 to April 2019 were identified from the National Adult Cardiac Surgery Audit database. Trends in clinical outcomes, predicted/observed mortality of patients and the utilization of biological prostheses across 5 different age groups:
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2023.131607