Impact of Preoperative Symptoms on Postoperative Survival in Severe Aortic Stenosis: Implications for the Timing of Surgery Sophie Piérard, MD, Christophe.

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Presentation transcript:

Impact of Preoperative Symptoms on Postoperative Survival in Severe Aortic Stenosis: Implications for the Timing of Surgery Sophie Piérard, MD, Christophe de Meester, MS, Stéphanie Seldrum, MD, Agnès Pasquet, MD, PhD, Bernhard Gerber, MD, PhD, David Vancraeynest, MD, PhD, Annie Robert, PhD, Gébrine El Khoury, MD, Philippe Noirhomme, MD, Jean-Louis Vanoverschelde, MD, PhD The Annals of Thoracic Surgery Volume 97, Issue 3, Pages 803-809 (March 2014) DOI: 10.1016/j.athoracsur.2013.08.059 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Kaplan-Meier survival curves comparing overall postoperative survival among patients in New York Heart Association (NYHA) class I, II, III, and IV. Numbers at bottom indicate patients at risk. The Annals of Thoracic Surgery 2014 97, 803-809DOI: (10.1016/j.athoracsur.2013.08.059) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Kaplan-Meier survival curves comparing overall postoperative survival among patients in New York Heart Association (NYHA) class I-II and III-IV. Numbers at bottom indicate patients at risk. The dotted line shows the survival of the age- and gender-matched Belgian population. The Annals of Thoracic Surgery 2014 97, 803-809DOI: (10.1016/j.athoracsur.2013.08.059) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Kaplan-Meier survival curve showing overall postoperative survival among patients in New York Heart Association (NYHA) class I and patients who went from NYHA I to NYHA III-IV in less than 1 month. Numbers at bottom indicate patients at risk. The dotted line shows the survival of the age- and gender-matched Belgian population. The Annals of Thoracic Surgery 2014 97, 803-809DOI: (10.1016/j.athoracsur.2013.08.059) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Kaplan-Meier survival curve showing overall postoperative survival in patients with no or minimal symptoms, normal preoperative left ventricular ejection fraction (LVEF ≥ 0.50) and no evidence of pulmonary hypertension (systolic pulmonary artery pressure <40 mm Hg) undergoing isolated aortic valve replacement. Numbers at bottom indicate patients at risk. Dotted line shows the survival of the age- and gender-matched Belgian population. The Annals of Thoracic Surgery 2014 97, 803-809DOI: (10.1016/j.athoracsur.2013.08.059) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions