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Contemporary Real-World Outcomes of Surgical Aortic Valve Replacement in 141,905 Low-Risk, Intermediate-Risk, and High-Risk Patients

Saturday, January 10, 2015

Submitted by

Mark Ferguson

Source

Source Name: Annals of Thoracic Surgery

Source URL: http://www.annalsthoracicsurgery.org/article/S0003-4975%2814%2901334-4/abstract

Author(s)

Vinod H. Thourani, Rakesh M. Suri, Rebecca L. Gunter, Shubin Sheng, Sean M. O’Brien, Gorav Ailawadi, Wilson Y. Szeto, Todd M. Dewey, Robert A. Guyton, Joseph E. Bavaria, Vasilis Babaliaros, James S. Gammie, Lars Svensson, Mathew Williams, Vinay Badhwar, Michael J. Mack

Outcomes of surgical AVR were summarized from the STS Cardiac Surgery Database 2002-2010 to establish contemporary data for different surgical risk groups (low <4% risk, intermediate 4%-8% risk, high >8% risk). 80% were low risk, 6% were high risk. Hospital mortality was lower than predicted by STS PROM for all groups (low: 1.4$ vs 1.7%; intermediate 5.1% vs 5.5%; high 11.8% vs 13.7%).