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Surgical aortic valve replacement in the era of transcatheter aortic valve implantation: a review of the UK national database by Marjan Jahangiri; Rajdeep Bilkhu; Andrew Embleton-Thirsk; Hakim-Moulay Dehbi; Krishna Mani; Jon Anderson; Vassilios Avlonitis; Max Baghai; Inderpaul Birdi; Karen Booth; Amal Bose; Norman Briffa; Keith Buchan; Sunil Bhudia; Alex Cale; Indu Deglurkar; Shakil Farid; Leonidas Hadjinikolaou; Martin Jarvis; Seyed Hossein Javadpour; Reubendra Jeganathan; Manoj Kuduvalli; Kulvinder Lall; Jorge Mascaro; Dheeraj Mehta; Sunil Ohri; Prakash Punjabi; Rajamiyer Venkateswaran; Paul Ridley; Christopher Satur; Serban Stoica; Uday Trivedi; Afzal Zaidi; Patrick Yiu; Narain Moorjani; Simon Kendall; Nick Freemantle is a Medicine article available to read on EtoBox.

What is Surgical aortic valve replacement in the era of transcatheter aortic valve implantation: a review of the UK national database about?

## Objectives To date the reported outcomes of surgical aortic valve replacement (SAVR) are mainly in the settings of trials comparing it with evolving transcatheter aortic valve implantation. We set out to examine characteristics and outcomes in people who underwent SAVR reflecting a national cohort and therefore ‘real-world’ practice. ## Design Retrospective analysis of prospectively collected data of consecutive people who underwent SAVR with or without coronary artery bypass graft (CABG) surgery between April 2013 and March 2018 in the UK. This included elective, urgent and emergency operations. Participants’ demographics, preoperative risk factors, operative data, in-hospital mortality, postoperative complications and effect of the addition of CABG to SAVR were analysed. ## Setting 27 (90%) tertiary cardiac surgical centres in the UK submitted their data for analysis. ## Participants 31 277 people with AVR were identified. 19 670 (62.9%) had only SAVR and 11 607 (37.1%) had AVR+CABG. ## Results In-hospital mortality for isolated SAVR was 1.9% (95% CI 1.6% to 2.1%) and was 2.4% for AVR+CABG. Mortality by age category for SAVR only were: 75 years=2.2%. For SAVR+CABG these were;

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Author

Marjan Jahangiri; Rajdeep Bilkhu; Andrew Embleton-Thirsk; Hakim-Moulay Dehbi; Krishna Mani; Jon Anderson; Vassilios Avlonitis; Max Baghai; Inderpaul Birdi; Karen Booth; Amal Bose; Norman Briffa; Keith Buchan; Sunil Bhudia; Alex Cale; Indu Deglurkar; Shakil Farid; Leonidas Hadjinikolaou; Martin Jarvis; Seyed Hossein Javadpour; Reubendra Jeganathan; Manoj Kuduvalli; Kulvinder Lall; Jorge Mascaro; Dheeraj Mehta; Sunil Ohri; Prakash Punjabi; Rajamiyer Venkateswaran; Paul Ridley; Christopher Satur; Serban Stoica; Uday Trivedi; Afzal Zaidi; Patrick Yiu; Narain Moorjani; Simon Kendall; Nick Freemantle

Publisher

BMJ

Published

2021

Language

EN

Field

Medicine (Health Sciences)