PMID- 29399899
OWN - NLM
STAT- MEDLINE
DCOM- 20180319
LR  - 20180319
IS  - 1540-8191 (Electronic)
IS  - 0886-0440 (Linking)
VI  - 33
IP  - 2
DP  - 2018 Feb
TI  - Short- and long-term outcomes following redo valvular surgery.
PG  - 56-63
LID - 10.1111/jocs.13534 [doi]
AB  - AIM: We reviewed our experience in redo valvular surgery to evaluate trends in 
      short- and long-term outcomes. METHODS: We reviewed 414 patients (mean age, 
      62.8 +/- 13.6 years) who underwent redo valvular surgery in the past 25 years. A 
      total of 301 patients (54.2%) underwent first-time redo valvular surgeries; 178 
      (32.1%) were second redos, 60 (10.8%) were third redos, and 16 were fourth redos 
      (2.9%). The mean follow-up period was 6.8 +/- 6.3 years. RESULTS: Hospital 
      mortality was 5.8%. New York Heart Association (NYHA) class III/IV (P = 0.0007, 
      odds ratio = 4.403) and hemodialysis (P = 0.0383, odds ratio = 7.196) were risk 
      factors for hospital death. Long-term survival rates at 15 and 20 years were 
      64.7% +/- 4.3% and 59.1% +/- 5.0%, respectively. Predictors of late death were first 
      time redo (P = 0.0076, hazard ratio = 0.422) and age younger than 61 years 
      (P = 0.0005, hazard ratio = 0.229). There were significant differences in 
      long-term survival between NYHA classes I/II and III/IV (log-rank test, 
      P = 0.0419) and between the time from redo surgery (log-rank test, P = 0.0189) 
      and age (log-rank test, P = 0.0001). CONCLUSIONS: The hospital mortality rate for 
      redo valve surgery has improved. Early referral for redo surgery can contribute 
      to improving early and late outcomes.
CI  - (c) 2018 Wiley Periodicals, Inc.
FAU - Fukunaga, Naoto
AU  - Fukunaga N
AUID- ORCID: 0000-0002-5954-3451
AD  - Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, 
      Kobe, Japan.
FAU - Sakata, Ryuzo
AU  - Sakata R
AD  - Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, 
      Kobe, Japan.
FAU - Koyama, Tadaaki
AU  - Koyama T
AD  - Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, 
      Kobe, Japan.
LA  - eng
PT  - Journal Article
DEP - 20180204
PL  - United States
TA  - J Card Surg
JT  - Journal of cardiac surgery
JID - 8908809
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Cardiac Valve Annuloplasty
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Valve Diseases/*surgery
MH  - *Heart Valve Prosthesis Implantation
MH  - Heart Valves/*surgery
MH  - Hospital Mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Reoperation/statistics & numerical data
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Survival Rate
MH  - Time Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - 25 years of experience
OT  - redo valvular surgery
EDAT- 2018/02/06 06:00
MHDA- 2018/03/20 06:00
CRDT- 2018/02/06 06:00
PHST- 2018/02/06 06:00 [pubmed]
PHST- 2018/03/20 06:00 [medline]
PHST- 2018/02/06 06:00 [entrez]
AID - 10.1111/jocs.13534 [doi]
PST - ppublish
SO  - J Card Surg. 2018 Feb;33(2):56-63. doi: 10.1111/jocs.13534. Epub 2018 Feb 4.