TAVR After Prior Mitral Valve Surgery: Results from the Transcatheter Valve Therapy Registry.

TAVR After Prior Mitral Valve Surgery: Results from the Transcatheter Valve Therapy Registry. Ann Thorac Surg. 2019 Oct 23;: Authors: Thourani VH, Kelly JJ, Cervantes D, Vemulapalli S, Manandhar P, Forcillo J, Holmes D, Cohen DJ, Kirtane A, Kodali S, Leon M, Babaliaros V, Waksman R, Satler L, Shults C, Ben-Dor I, Rogers T, Kapadia S, Reardon M, Chris Malaisrie S, Gleason T, Holper EM, Bavaria JE, Herrmann H, Szeto WY, Carroll JD, Mack M Abstract BACKGROUND: Due to perceived technical challenges, patients with previous surgical mitral valve repair or replacement (SMVR) have been excluded from most transcatheter aortic valve replacement (TAVR) trials. Our objective was to compare the 30-day and 1-year outcomes of TAVR in patients with and without prior SMVR. METHODS: In a retrospective review of the Society of Thoracic Surgeons (STS) and American College of Cardiology (ACC) Transcatheter Valve Therapy (TVT) Registry, we compared 1,097 patients with prior SMVR to 46,327 without prior SMVR who underwent TAVR between November 2011 and September 2015 at 394 U.S. centers. Preoperative characteristics, procedural details, and clinical outcomes were analyzed. RESULTS: Patients with previous SMVR were younger, more often female, and had higher STS Predicted Risk of Mortality (8.6% vs. 6.8%, p
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research

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