Aortic valve replacement for moderate aortic stenosis during mitral surgery improves survival free from severe stenosis.
Publication/Presentation Date
7-1-2023
Abstract
BACKGROUND: Optimal management of moderate aortic stenosis during surgery for another indication is unclear. We assessed the effects of surgical aortic valve replacement for moderate aortic stenosis during mitral surgery.
METHODS: An institutional mitral surgery database was queried for patients with preoperative moderate aortic stenosis. Patients were stratified by whether they underwent concomitant surgical aortic valve replacement. Morbidity was analyzed using Student's
RESULTS: Of 85 mitral surgery recipients with moderate aortic stenosis from 2012 to 2019, 62 (73%) underwent concomitant surgical aortic valve replacement. Surgical aortic valve replacement recipients were more likely to have bicuspid (11% vs. 0%,
CONCLUSIONS: Surgical aortic valve replacement for moderate aortic stenosis at time of mitral surgery is a well-tolerated strategy to reduce aortic disease progression.
Volume
31
Issue
6
First Page
475
Last Page
482
ISSN
1816-5370
Published In/Presented At
Weingarten, N., Rekhtman, D., Iyengar, A., Song, C., Patel, M., & Atluri, P. (2023). Aortic valve replacement for moderate aortic stenosis during mitral surgery improves survival free from severe stenosis. Asian cardiovascular & thoracic annals, 31(6), 475–482. https://doi.org/10.1177/02184923231186850
Disciplines
Medicine and Health Sciences
PubMedID
37415529
Department(s)
Department of Surgery
Document Type
Article