Key result
Modern redo valve surgery substantially reduces postoperative mortality, no longer independently predicting death.
Why the study?
Reoperative valve surgery is increasingly common and historically associated with high mortality and morbidity, but advances in surgical techniques and technology have improved outcomes.
Redo valve surgery may warrant less caution in risk models; leaves open prospective validation in contemporary cohorts.
Re-operative valvular surgery is common nowadays. Increased mortality and morbidity are generally associated. Re-operations in cardiac surgery are technically more difficult because of adhesions and a more advanced cardiac status of the patient. Results reported 20 years ago carried a high mortality risk. Experience and technological evolution have produced a substantial reduction in postoperative mortality nowadays. The present review focuses on historical results of redo valve surgery, risks factors for postoperative mortality, technical progress and surgical strategies contributing to better results.
No takes yet. Share an insight, caveat, or question.
Wauthy et al. (2003) conducted a review in Reoperative valvular surgery. Reoperative valve surgery was evaluated. Advancements in surgical techniques and perioperative care have substantially reduced postoperative mortality in redo valve surgery, making it no longer an independent predictor of mortality.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: