: Aim: To evaluate clinical outcomes after redo aortic valve replacement (AVR) with sutured valves, versus valve-in-valve transcatheter aortic valve replacement (ViV-TAVR), versus sutureless valves. Methods: We identified 113 consecutive patients undergoing redo AVR with either ViV-TAVR, redo-sutured and redo-sutureless valves between August 2010 to March 2020. Heart-team made the decision whether patient should undergo redo-sutureless versus ViV-TAVR, versus redo-sutured AVR. Results: Preoperatively, redo-sutured (n = 57), ViV-TAVR (n = 31) and redo-sutureless (n = 25) patients were compared. Postoperatively, after propensity-adjustment analysis, the redo SAVR group had a higher incidence of new postoperative atrial fibrillation (POAF; p = 0.04) compared with redo-sutureless group. Follow-up outcomes analysis did not show differences among groups. Conclusion: Patients undergoing redo-sutureless AVR experienced a higher incidence of POAF compared with patients undergoing redo-sutured.

Long-term prognosis in patients undergoing redo-isolated aortic valve replacement / Dokollari, Aleksander; Torregrossa, Gianluca; Sicouri, Serge; Cameli, Matteo; Mandoli, Giulia Elena; Kjelstrom, Stephanie; Prifti, Edvin; Veshti, Altin; Bonacchi, Massimo; Gelsomino, Sandro. - In: FUTURE CARDIOLOGY. - ISSN 1479-6678. - STAMPA. - (2023), pp. 1-5. [10.2217/fca-2023-0050]

Long-term prognosis in patients undergoing redo-isolated aortic valve replacement

Bonacchi, Massimo
;
Gelsomino, Sandro
2023

Abstract

: Aim: To evaluate clinical outcomes after redo aortic valve replacement (AVR) with sutured valves, versus valve-in-valve transcatheter aortic valve replacement (ViV-TAVR), versus sutureless valves. Methods: We identified 113 consecutive patients undergoing redo AVR with either ViV-TAVR, redo-sutured and redo-sutureless valves between August 2010 to March 2020. Heart-team made the decision whether patient should undergo redo-sutureless versus ViV-TAVR, versus redo-sutured AVR. Results: Preoperatively, redo-sutured (n = 57), ViV-TAVR (n = 31) and redo-sutureless (n = 25) patients were compared. Postoperatively, after propensity-adjustment analysis, the redo SAVR group had a higher incidence of new postoperative atrial fibrillation (POAF; p = 0.04) compared with redo-sutureless group. Follow-up outcomes analysis did not show differences among groups. Conclusion: Patients undergoing redo-sutureless AVR experienced a higher incidence of POAF compared with patients undergoing redo-sutured.
2023
1
5
Dokollari, Aleksander; Torregrossa, Gianluca; Sicouri, Serge; Cameli, Matteo; Mandoli, Giulia Elena; Kjelstrom, Stephanie; Prifti, Edvin; Veshti, Altin; Bonacchi, Massimo; Gelsomino, Sandro
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Utilizza questo identificatore per citare o creare un link a questa risorsa: https://hdl.handle.net/2158/1346431
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