Your browser doesn't support javascript.
loading
Outcomes and quality of life in patients receiving mitral surgery for asymptomatic disease.
Iyengar, Amit; Weingarten, Noah; Rekhtman, David; Song, Cindy; Shin, Max; Helmers, Mark R; Kelly, John; Atluri, Pavan.
Afiliação
  • Iyengar A; Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa.
  • Weingarten N; Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa.
  • Rekhtman D; Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
  • Song C; Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
  • Shin M; Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
  • Helmers MR; Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa.
  • Kelly J; Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa.
  • Atluri P; Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa.
JTCVS Open ; 18: 43-51, 2024 Apr.
Article em En | MEDLINE | ID: mdl-38690429
ABSTRACT

Objectives:

We sought to characterize the demographics, outcomes, and quality of life of asymptomatic patients undergoing mitral valve surgery at our center over a 10-year period.

Methods:

Adults undergoing mitral surgery were retrospectively reviewed between 2010 and 2019. Patients were included if deemed asymptomatic by review of referring cardiologist and surgeon consultation. Patients were administered a telephone survey consisting of the Kansas City Cardiomyopathy Questionnaire as well as free-response regarding satisfaction surrounding their operation. Outcomes included survival, Kansas City Cardiomyopathy Questionnaire metrics, and thematic analysis of free response questions.

Results:

A total of 145 patients were identified who were deemed asymptomatic. Their average age was 60.3 ± 12.1 years, and 71% were male. No patients had endocarditis, and 34% had decreased ejection fraction (<60%). Repair was achieved in 95% of patients. Median length of stay was 6 (5-8) days. Ten-year survival was 91%, with no differences noted by ejection fraction. Composite Kansas City Cardiomyopathy Questionnaire score was 100 (96-100). The lowest component score was "Quality of Life," with 22% of patients reporting being "mostly satisfied" with present cardiac status. Most common themes expressed were gratitude with surgery results (58%), satisfaction with being able to stay active (23%), and happiness with early disease treatment (21%). Only 1 patient (0.7%) expressed regret with surgery choice.

Conclusions:

Mitral surgery for asymptomatic disease can be performed with good long-term outcomes in select patients, and the majority experience excellent quality of life and satisfaction with current health. Continued assessments of quality of life are important in evaluating outcomes of mitral surgery as indications grow.
Palavras-chave
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: JTCVS Open Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Panamá País de publicação: Holanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: JTCVS Open Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Panamá País de publicação: Holanda