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Sutureless versus Conventional Aortic Valve Replacement: Outcomes in 70 High-Risk Patients Undergoing Concomitant Cardiac Procedures

In elderly, high-risk surgical patients, sutureless aortic valve replacement (AVR) can often be an alternative to conventional AVR; shorter aortic cross-clamp and cardiopulmonary bypass times are the chief advantages. We compared the outcomes of sutureless AVR with those of conventional AVR in 70 el... Full description

Journal Title: Texas Heart Institute journal February 2018, Vol.45(1), pp.11-16
Main Author: Hanedan, Muhammet Onur
Other Authors: Yuruk, Mehmet Ali , Parlar, Ali Ihsan , Ziyrek, Ugur , Arslan, Ali Kemal , Sayar, Ufuk , Mataraci, Ilker
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1526-6702 ; PMID: 29556145 Version:1 ; DOI: 10.14503/THIJ-16-6092
Link: http://pubmed.gov/29556145
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title: Sutureless versus Conventional Aortic Valve Replacement: Outcomes in 70 High-Risk Patients Undergoing Concomitant Cardiac Procedures
format: Article
creator:
  • Hanedan, Muhammet Onur
  • Yuruk, Mehmet Ali
  • Parlar, Ali Ihsan
  • Ziyrek, Ugur
  • Arslan, Ali Kemal
  • Sayar, Ufuk
  • Mataraci, Ilker
subjects:
  • Aged
  • Aortic Valve Insufficiency/Surgery/Therapy
  • Heart Valve Prosthesis Implantation/Adverse Effects/Instrumentation/Methods/Mortality
  • Hemodynamics
  • Prospective Studies
  • Prosthesis Design
  • Risk Factors
  • Sutureless Surgical Procedures/Adverse Effects/Instrumentation/Methods
  • Time Factors
  • Treatment Outcome
  • Aortic Valve -- Surgery
  • Aortic Valve Insufficiency -- Surgery
  • Cardiac Surgical Procedures -- Methods
  • Heart Diseases -- Surgery
  • Sutureless Surgical Procedures -- Methods
  • Transcatheter Aortic Valve Replacement -- Methods
ispartof: Texas Heart Institute journal, February 2018, Vol.45(1), pp.11-16
description: In elderly, high-risk surgical patients, sutureless aortic valve replacement (AVR) can often be an alternative to conventional AVR; shorter aortic cross-clamp and cardiopulmonary bypass times are the chief advantages. We compared the outcomes of sutureless AVR with those of conventional AVR in 70 elderly patients who underwent concomitant cardiac surgical procedures. We retrospectively analyzed the cases of 42 men and 28 women (mean age, 70.4 ± 10.3 yr; range, 34-93 yr) who underwent cardiac operations plus AVR with either a sutureless valve (group 1, n=38) or a conventional bioprosthetic or mechanical valve (group 2, n=32). Baseline patient characteristics were similar except for worse New York Heart Association functional status and the prevalence of diabetes mellitus in group 1. In group 1, the operative, cross-clamp, and cardiopulmonary bypass times were shorter (all =0.001), postoperative drainage amounts were lower (=0.009), hospital stays were shorter (=0.004), and less red blood...
language: eng
source:
identifier: E-ISSN: 1526-6702 ; PMID: 29556145 Version:1 ; DOI: 10.14503/THIJ-16-6092
fulltext: fulltext
issn:
  • 15266702
  • 1526-6702
url: Link


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titleSutureless versus Conventional Aortic Valve Replacement: Outcomes in 70 High-Risk Patients Undergoing Concomitant Cardiac Procedures
creatorHanedan, Muhammet Onur ; Yuruk, Mehmet Ali ; Parlar, Ali Ihsan ; Ziyrek, Ugur ; Arslan, Ali Kemal ; Sayar, Ufuk ; Mataraci, Ilker
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subjectAged ; Aortic Valve Insufficiency/Surgery/Therapy ; Heart Valve Prosthesis Implantation/Adverse Effects/Instrumentation/Methods/Mortality ; Hemodynamics ; Prospective Studies ; Prosthesis Design ; Risk Factors ; Sutureless Surgical Procedures/Adverse Effects/Instrumentation/Methods ; Time Factors ; Treatment Outcome ; Aortic Valve -- Surgery ; Aortic Valve Insufficiency -- Surgery ; Cardiac Surgical Procedures -- Methods ; Heart Diseases -- Surgery ; Sutureless Surgical Procedures -- Methods ; Transcatheter Aortic Valve Replacement -- Methods
descriptionIn elderly, high-risk surgical patients, sutureless aortic valve replacement (AVR) can often be an alternative to conventional AVR; shorter aortic cross-clamp and cardiopulmonary bypass times are the chief advantages. We compared the outcomes of sutureless AVR with those of conventional AVR in 70 elderly patients who underwent concomitant cardiac surgical procedures. We retrospectively analyzed the cases of 42 men and 28 women (mean age, 70.4 ± 10.3 yr; range, 34-93 yr) who underwent cardiac operations plus AVR with either a sutureless valve (group 1, n=38) or a conventional bioprosthetic or mechanical valve (group 2, n=32). Baseline patient characteristics were similar except for worse New York Heart Association functional status and the prevalence of diabetes mellitus in group 1. In group 1, the operative, cross-clamp, and cardiopulmonary bypass times were shorter (all =0.001), postoperative drainage amounts were lower (=0.009), hospital stays were shorter (=0.004), and less red blood...
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titleSutureless versus Conventional Aortic Valve Replacement: Outcomes in 70 High-Risk Patients Undergoing Concomitant Cardiac Procedures
descriptionIn elderly, high-risk surgical patients, sutureless aortic valve replacement (AVR) can often be an alternative to conventional AVR; shorter aortic cross-clamp and cardiopulmonary bypass times are the chief advantages. We compared the outcomes of sutureless AVR with those of conventional AVR in 70 elderly patients who underwent concomitant cardiac surgical procedures. We retrospectively analyzed the cases of 42 men and 28 women (mean age, 70.4 ± 10.3 yr; range, 34-93 yr) who underwent cardiac operations plus AVR with either a sutureless valve (group 1, n=38) or a conventional bioprosthetic or mechanical valve (group 2, n=32). Baseline patient characteristics were similar except for worse New York Heart Association functional status and the prevalence of diabetes mellitus in group 1. In group 1, the operative, cross-clamp, and cardiopulmonary bypass times were shorter (all =0.001), postoperative drainage amounts were lower (=0.009), hospital stays were shorter (=0.004), and less red blood...
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abstractIn elderly, high-risk surgical patients, sutureless aortic valve replacement (AVR) can often be an alternative to conventional AVR; shorter aortic cross-clamp and cardiopulmonary bypass times are the chief advantages. We compared the outcomes of sutureless AVR with those of conventional AVR in 70 elderly patients who underwent concomitant cardiac surgical procedures. We retrospectively analyzed the cases of 42 men and 28 women (mean age, 70.4 ± 10.3 yr; range, 34-93 yr) who underwent cardiac operations plus AVR with either a sutureless valve (group 1, n=38) or a conventional bioprosthetic or mechanical valve (group 2, n=32). Baseline patient characteristics were similar except for worse New York Heart Association functional status and the prevalence of diabetes mellitus in group 1. In group 1, the operative, cross-clamp, and cardiopulmonary bypass times were shorter (all =0.001), postoperative drainage amounts were lower (=0.009), hospital stays were shorter (=0.004), and less red blood...
doi10.14503/THIJ-16-6092
pmid29556145
date2018-02