Five-year survival of patients with left-side heart valve disease who underwent heart valve surgery

Authors

  • José E. Fernández Mesa http://orcid.org/0000-0002-0891-7927
  • Kenia M. Padrón García
  • Ángel M. Paredes Cordero
  • Omar González Greck
  • Aníbal González Trujillo
  • Elizabeth Díaz Vázquez
  • Reynold Calderín Pino

Abstract

Introduction: The mid and long term survival rate is a necessary parameter to evaluate the outcomes of heart valve surgery.

Objectives: To determine the five-year survival of patients who underwent aortic and/or mitral valve surgery, and the variables that could independently predict a lower survival in the follow-up.

Methods: A cohort study was conducted for evaluating 139 patients who underwent a heart valve surgery, in the period 2010-2012, at the Instituto de Cardiología y Cirugía Cardiovascular of Havana, Cuba, all of which survived the postoperative period, and were followed up to five years after the surgery. A Kaplan-Meier curve was performed to determine the survival after surgery. Also, a multivariate Cox regression was carried out to determine the variables that were independently associated with a lower survival rate. The statistical significance level used was p<0.05.

Results: The sample was homogeneous according to clinical and demographic variables. The overall survival rate was 93% at the end of the study, with a mean follow up of 5.8 years. The older age (HR=1.15; p=0.001) and the history of perioperative low cardiac output syndrome (HR= 3.54; p=0.037) were the variables independently associated to lower survival in the follow-up.

Conclusions: The patients’ survival when concluded the follow-up was high. The older age and the perioperative low cardiac output syndrome were the variables independently associated to lower survival.

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References

1. Candiello A, Cura F, Albertal M, Padilla LT, Nau G, Castro F, et al. Supervivencia a mediano plazo y estado funcional de pacientes con estenosis valvular aórtica grave sometidos a implante de válvula aórtica transcatéter. Rev Bras Cardiol Invasiva. 2013;21(4):319-25.

2. Payró-Hernández LE, Carmona-Jarquín GA, Careaga-Reyna G. Revascularización miocárdica combinada con cirugía valvular. Experiencia en el Departamento de Cirugía Cardiotorácica de una unidad médica de alta especialidad. Cir Cir. 2012;80(6):504-9.

3. De Arazoza Hernández A, Pérez López H, Rodríguez Rosales E, Nodal Leyva PE, Rodríguez Casas E, Valera Pérez D. Estadística de los pacientes intervenidos quirúrgicamente por valvulopatías. Estudio de 36 años. Rev Cuban Cardiol [Internet]. 2016 [citado 14 Abr 2019];22(2):89-5. Disponible en: http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/636/pdf_49

4. Riera M, Herrero J, Ibáñez J, Campillo C, Amézaga R, Sáez de Ibarra JI, et al. Supervivencia a medio plazo de los pacientes operados en cirugía cardiaca mayor. Rev Esp Cardiol. 2011;64(6):463-9.

5. Careaga-Reyna G, Martínez-Carballo G, Anza-Costabile LM, Ávila-Funés A. Euroscore para predecir morbimortalidad en cirugía cardiaca valvular. Cir Ciruj. 2008;76(6):497-505.

6. Borracci RA, Rubio M, Baldi J, Arribalzaga EB, Poveda Camargo RL. Cirugía cardíaca estratificada por EuroScore. Supervivencia a largo plazo. Medicina (Buenos Aires). 2013;73(5):438-42.

7. Molina Povedano MA, Riera Sagrera M, Amézaga Menéndez R, Fiol Sala M, Colomar Ferr? MA, Rodríguez Yago MA, et al. Impacto de la disfunción ventricular izquierda en el paciente intervenido de estenosis valvular aórtica moderada-grave. Med Balear. 2015;30(1):27-33.

8. Cristar F, Ferreiro A, Murguía E, Cura L. Impacto pronóstico de la clase funcional preoperatoria en la cirugía por estenosis valvular aórtica. Rev Urug Cardiol. 2014;29(2):181-6.

9. Du Bois D, Du Bois EF. A formula to estimate the approximate surface area if height and weight be known. 1916. Nutrition. 1989;5(5):303-11.

10. Chan KL, Currie PJ, Seward JB, Hagler DJ, Mair DD, Tajik AJ. Comparison of three Doppler ultrasound methods in the prediction of pulmonary artery pressure. J Am Coll Cardiol. 1987;9(3):549-54.

11. Riera M, Ibáñez J, Molina M, Amézaga R, Colomar A, Carrillo A, et al. Transfusión de hematíes y supervivencia a largo plazo en la cirugía cardíaca no complicada. Med Intensiva. 2014;38(7):422-9.

12. Baumgartner H, Falk V, Bax JJ, De Bonis M, Hamm C, Holm PJ, et al. Guía ESC/EACTS 2017 sobre el tratamiento de las valvulopatías. Rev Esp Cardiol [Internet]. 2018 [citado 18 Abr 2019];71(2):110.e1-e47. Disponible en: https://doi.org/10.1016/j.recesp.2017.12.014

13. Otto CM, Bonow RO. Cardiopatía valvular. En: Mann DL, Zipes DP, Libby P, Bonow RO, Braunwald E, eds. Braunwald Tratado de Cardiología. 10ma Ed. Barcelona: Elsevier España; 2016. p. 1446-509.

14. Etayo EH, González FI, Florián MC, Chacón A. Cirugía cardiaca en ancianos Epidemiología, calidad de vida y funcionalidad postoperatoria. Acta Med Colomb. 2014;39(2):118-123.

15. Rincón Salas JJ, Novoa Lago E, Sánchez E, Hortal Iglesias J. Manejo de las complicaciones postoperatorias de la cirugía cardiaca en cuidados intensivos. Rev Asoc Mex Med Crit y Ter Int. 2013;27(3):172-8.

16. Brennan JM, Edwards FH, Zhao Y, O'Brien SM, Douglas PS, Peterson ED, et al. Long-term survival after aortic valve replacement among high-risk elderly patients in the United States: insights from the Society of Thoracic Surgeons Adult Cardiac Surgery Database, 1991 to 2007. Circulation. 2012;126(13):1621-9.

17. Pérez Vela JL, Jiménez Rivera JJ, Alcalá Llorente MÁ, González de Marcos B, Torrado H, García Laborda C, et al. Síndrome de bajo gasto cardiaco en el postoperatorio de cirugía cardiaca. Perfil, diferencias en evolución clínica y pronóstico. Estudio ESBAGA. Med Intensiva. 2018;42(3):159-67.

18. Lomivorotov VV, Efremov SM, Kirov MY, Fominskiy EV, Karaskov AM. Low-cardiac-output syndrome after cardiac surgery. J Cardiothorac Vasc Anesth. 2017;31(1):291-308.

19. Flores-Marín A, Gómez-Doblas JJ, Caballero-Borrego J, Cabrera-Bueno F, Rodríguez-Bailón I, Melero JM, et al. Predictores de mortalidad y recuperación funcional a largo plazo en el reemplazo valvular por estenosis aórtica severa con disfunción ventricular. Rev Esp Cardiol. 2010;63(1):36-45.

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Published

2020-01-30

How to Cite

1.
Fernández Mesa JE, Padrón García KM, Paredes Cordero Ángel M, González Greck O, González Trujillo A, Díaz Vázquez E, et al. Five-year survival of patients with left-side heart valve disease who underwent heart valve surgery. CorSalud [Internet]. 2020 Jan. 30 [cited 2025 Jul. 2];12(1):38-45. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/597

Issue

Vol. 12 No. 1 (2020)

Section

ORIGINAL ARTICLES

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