The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Jul 2021
Observational StudyOutcomes of mitral valve repair compared with replacement for patients with rheumatic heart disease.
Whether mitral valve repair is superior to replacement in the population with rheumatic heart disease has been debated. This study aims to compare outcomes of repair with replacement by the propensity score method. ⋯ The results suggest that rheumatic mitral valve repair in select patients is superior to mitral valve replacement with regard to lower mortality and fewer valve-related complications; meanwhile, it has a comparable risk of reoperation compared with replacement.
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J. Thorac. Cardiovasc. Surg. · Jul 2021
Impact of tricuspid regurgitation with and without repair during aortic valve replacement.
Long-term outcomes of aortic valve replacement (AVR) are worse in patients with tricuspid regurgitation (TR), but the impact of concomitant tricuspid valve intervention remains unclear. The purpose of this study was to determine the effect of tricuspid intervention in patients with TR undergoing AVR. ⋯ Increasing severity of TR is associated with higher rates of morbidity and mortality after AVR. Correction of TR at the time of surgical AVR is not associated with increased operative mortality and has been shown to improve long-term outcomes.
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J. Thorac. Cardiovasc. Surg. · Jul 2021
Editorial CommentCommentary: Cardiac sarcoma-Can we win this battle?