Reduced survival in women after valve surgery for aortic regurgitationEffect of aortic enlargement and late aortic rupture Monica L. McDonald, MDa, Nicholas.

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Presentation transcript:

Reduced survival in women after valve surgery for aortic regurgitationEffect of aortic enlargement and late aortic rupture Monica L. McDonald, MDa, Nicholas G. Smedira, MDa, Eugene H. Blackstone, MDa,b, Richard A. Grimm, DOc, Bruce W. Lytle, MDa, Delos M. Cosgrove, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 119, Issue 6, Pages 1205-1215 (June 2000) DOI: 10.1067/mtc.2000.106329 Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Cumulative frequency distribution of ascending aorta diameter indexed to BSA measured from the preoperative echocardiogram. Superimposed on the plot is the distribution of predicted mean normal size of the ascending aorta diameter indexed to BSA for young adults. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 1205-1215DOI: (10.1067/mtc.2000.106329) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 Survival after aortic valve replacement or repair. These depictions are compared: overall survival, survival before an aortic event (competing risks analyses, see “Methods” section), and the age–sex–general population life table. Overall survival: Each circle indicates a death positioned along the vertical axis by the nonparametric Kaplan-Meier method. Vertical bars are asymmetric confidence intervals equivalent to one SE. Numbers in parentheses represent the number of patients remaining at risk beyond that time point. The heavy smooth line and its confidence intervals represent the parametric survival estimates. Survival before an aortic event: The lighter smooth line and its confidence intervals represent survival were no aortic events to have occurred. Population life table: The dash-dot-dash line is the survival of women matched for age in the general population. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 1205-1215DOI: (10.1067/mtc.2000.106329) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 Nomogram from the multivariable analysis of aortic events. The depiction is freedom from the event at 5 years postoperatively according to the size of the ascending aorta indexed to BSA (horizontal axis) and the age of the patient at the original aortic valve operation. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 1205-1215DOI: (10.1067/mtc.2000.106329) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 4 Cumulative frequency distribution of ascending aortic diameter indexed to BSA stratified according to whether the patient underwent a concomitant aortic repair. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 1205-1215DOI: (10.1067/mtc.2000.106329) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions