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Benchmark Outcomes for Pulmonary Valve Replacement Using The Society of Thoracic Surgeons Databases.

Publication ,  Journal Article
Khanna, AD; Hill, KD; Pasquali, SK; Wallace, AS; Masoudi, FA; Jacobs, ML; Jacobs, JP; Karamlou, T
Published in: Ann Thorac Surg
July 2015

BACKGROUND: As less invasive alternatives to surgical pulmonary valve replacement (PVR) are being refined and evaluated, there is a need for benchmark data concerning outcomes from surgical PVR. METHODS: We examined in-hospital outcomes from surgical PVR in The Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD) and Adult Cardiac Surgery Database (STS-ACSD) between 2007 and 2013, with a focus on patients likely to be eligible for transcatheter PVR (ie, ≥ 5 years age and ≥ 30 kg). Patient characteristics, morbidity, and mortality were described. RESULTS: The STS-CHSD included 6,431 eligible patients with a median age of 17 years (interquartile range [IQR], 14-25 years). Preoperative comorbidities were uncommon: arrhythmia (1.7%), renal failure (0.1%), endocarditis (0.3%), neurologic deficit (0.8%), and diabetes (0.5%). In-hospital mortality was 0.9%. A major complication occurred in 2.2%. The STS-ACSD included 3,352 eligible patients; the median age was 41 years (IQR, 30-55 years). Preoperative comorbidities were more common: arrhythmia (24.3%), renal failure (3.8%), endocarditis (12.2%), cerebrovascular disease (7.9%), and diabetes (10.9%). In-hospital mortality was 4.1%. A major complication occurred in 20.9%. CONCLUSIONS: Contemporary outcomes from surgical PVR include a low risk of in-hospital death or major complications. Patients in the STS-ACSD are older and have an increased prevalence of preoperative factors, which may contribute to higher morbidity and mortality.

Duke Scholars

Published In

Ann Thorac Surg

DOI

EISSN

1552-6259

Publication Date

July 2015

Volume

100

Issue

1

Start / End Page

138 / 145

Location

Netherlands

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Thoracic Surgery
  • Societies, Medical
  • Respiratory System
  • Pulmonary Valve
  • Male
  • Humans
  • Heart Valve Prosthesis Implantation
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Khanna, A. D., Hill, K. D., Pasquali, S. K., Wallace, A. S., Masoudi, F. A., Jacobs, M. L., … Karamlou, T. (2015). Benchmark Outcomes for Pulmonary Valve Replacement Using The Society of Thoracic Surgeons Databases. Ann Thorac Surg, 100(1), 138–145. https://doi.org/10.1016/j.athoracsur.2015.03.025
Khanna, Amber D., Kevin D. Hill, Sara K. Pasquali, Amelia S. Wallace, Frederick A. Masoudi, Marshall L. Jacobs, Jeffrey P. Jacobs, and Tara Karamlou. “Benchmark Outcomes for Pulmonary Valve Replacement Using The Society of Thoracic Surgeons Databases.Ann Thorac Surg 100, no. 1 (July 2015): 138–45. https://doi.org/10.1016/j.athoracsur.2015.03.025.
Khanna AD, Hill KD, Pasquali SK, Wallace AS, Masoudi FA, Jacobs ML, et al. Benchmark Outcomes for Pulmonary Valve Replacement Using The Society of Thoracic Surgeons Databases. Ann Thorac Surg. 2015 Jul;100(1):138–45.
Khanna, Amber D., et al. “Benchmark Outcomes for Pulmonary Valve Replacement Using The Society of Thoracic Surgeons Databases.Ann Thorac Surg, vol. 100, no. 1, July 2015, pp. 138–45. Pubmed, doi:10.1016/j.athoracsur.2015.03.025.
Khanna AD, Hill KD, Pasquali SK, Wallace AS, Masoudi FA, Jacobs ML, Jacobs JP, Karamlou T. Benchmark Outcomes for Pulmonary Valve Replacement Using The Society of Thoracic Surgeons Databases. Ann Thorac Surg. 2015 Jul;100(1):138–145.
Journal cover image

Published In

Ann Thorac Surg

DOI

EISSN

1552-6259

Publication Date

July 2015

Volume

100

Issue

1

Start / End Page

138 / 145

Location

Netherlands

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Thoracic Surgery
  • Societies, Medical
  • Respiratory System
  • Pulmonary Valve
  • Male
  • Humans
  • Heart Valve Prosthesis Implantation
  • Female