Why the study?
Does a higher post-operative valve gradient (≥20 mmHg) increase the risk of valve re-intervention and death in patients undergoing aortic valve repair?
Population
471 patients who underwent aortic valve repair (AVr) between March 1996 and June 2010.
Comparison
Post-operative peak gradient (PG) ≥20 mmHg (n=113) vs Post-operative peak gradient (PG) <20 mmHg (n=358)
Design
Cohort
Follow-up
Mean 123.1±89.7 months for Group I and 147.1±108.0 months…
Authors
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PG ≥20 mmHg after aortic valve repair was associated with higher re-intervention rates; hypothesis-generating for gradient targets and warrants prospective confirmation.
Does a higher post-operative valve gradient (≥20 mmHg) increase the risk of valve re-intervention and death in patients undergoing aortic valve repair?
A higher post-operative peak gradient (≥20 mmHg) after aortic valve repair is associated with a significantly higher rate of long-term valve re-intervention, particularly in younger patients.
Vohra et al. (2013) studied this question.
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