Longitudinal Outcome of Isolated Mitral Repair in Older Patients: Results From 14,604 Procedures Performed From 1991 to 2007 Vinay Badhwar, MD, Eric.

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Presentation transcript:

Longitudinal Outcome of Isolated Mitral Repair in Older Patients: Results From 14,604 Procedures Performed From 1991 to 2007 Vinay Badhwar, MD, Eric D. Peterson, MD, Jeffrey P. Jacobs, MD, Xia He, MS, J. Matthew Brennan, MD, Sean M. O'Brien, PhD, Rachel S. Dokholyan, MPH, Kristopher M. George, MD, Steven F. Bolling, MD, David M. Shahian, MD, Fredrick L. Grover, MD, Fred H. Edwards, MD, James S. Gammie, MD The Annals of Thoracic Surgery Volume 94, Issue 6, Pages 1870-1879 (December 2012) DOI: 10.1016/j.athoracsur.2012.05.105 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Frequency of isolated primary mitral valve (MV) repair and replacement in patients aged 65 years or more between 1991 and 2007. The Annals of Thoracic Surgery 2012 94, 1870-1879DOI: (10.1016/j.athoracsur.2012.05.105) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Flow diagram of population for analysis. (CABG = coronary artery bypass graft surgery; CMS = Centers for Medicare and Medicaid Services; MI = myocardial infarction; STS = The Society of Thoracic Surgeons.) The Annals of Thoracic Surgery 2012 94, 1870-1879DOI: (10.1016/j.athoracsur.2012.05.105) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Ten-year Kaplan-Meier rate for avoidance of mitral reoperation after isolated mitral valve repair in patients aged 65 years or more. Kaplan-Meier estimated rates of mitral reoperation shown with 95% confidence intervals. The Annals of Thoracic Surgery 2012 94, 1870-1879DOI: (10.1016/j.athoracsur.2012.05.105) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Ten-year survival after isolated primary mitral valve (MV) repair in patients aged 65 years or more. The Kaplan-Meir 10-year survival after MV repair (solid line) is equivalent to the age- and sex-matched US population (dashed line). The Annals of Thoracic Surgery 2012 94, 1870-1879DOI: (10.1016/j.athoracsur.2012.05.105) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Impact of preoperative (preop) atrial fibrillation (AF [solid line]) on 5-year Kaplan-Meier rates for avoidance of readmission for congestive heart failure after mitral valve repair in patients aged 65 years or more. Kaplan-Meier estimated event rates shown with 95% confidence intervals. Atrial fibrillation at the time of initial mitral repair has significant influence on 5-year readmission for congestive heart failure (hazard ratio 1.51; 95% confidence interval: 1.39 to 1.66). (Dashed line = preoperative normal sinus rhythm.) The Annals of Thoracic Surgery 2012 94, 1870-1879DOI: (10.1016/j.athoracsur.2012.05.105) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions