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Outcomes after mechanical aortic valve replacement in children and young adults with congenital heart disease  Patrick O. Myers, MD, Suyog A. Mokashi,

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Presentation on theme: "Outcomes after mechanical aortic valve replacement in children and young adults with congenital heart disease  Patrick O. Myers, MD, Suyog A. Mokashi,"— Presentation transcript:

1 Outcomes after mechanical aortic valve replacement in children and young adults with congenital heart disease  Patrick O. Myers, MD, Suyog A. Mokashi, MD, Edward Horgan, PA-C, Michele Borisuk, MSN, John E. Mayer, MD, Pedro J. del Nido, MD, Christopher W. Baird, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 157, Issue 1, Pages (January 2019) DOI: /j.jtcvs Copyright © Terms and Conditions

2 Figure 1 Kaplan-Meier estimates of survival. A, Unstratified. B, Stratified by valve type. The median follow-up was 5 years (interquartile range,  years; patient-years), specifically 6.1 years for patients with a St Jude valve (St Jude Medical Inc, St Paul, Minn), 3.9 years with an On-X valve (On-X Life Technologies Inc, Austin, Tex), and 8.6 years with a CarboMedics valve (Sorin, SpA, Milan, Italy). CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

3 Figure 2 Freedom from reoperation. A, Freedom from aortic valve reoperation was 98% ± 1.3% at 1 and 5 years, 91.4% ± 3.9% at 7 years, and 78.3% ± 6.9% at 10 years to latest follow-up. B, Freedom from aortic valve reoperation was significantly better with the On-X valve (On-X Life Technologies Inc, Austin, Tex) (P < .001). CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

4 Figure 3 Freedom from reoperation stratified by valve size. Valve sizes of 16 to 17 mm had a significantly higher risk of reoperation compared to larger valves of 19 to 27 mm. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

5 Freedom from aortic valve reoperation.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

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