Abstract
Background Multiple valve surgery is associated with significant higher operative risks. Reduced
cross-clamp and cardiopulmonary bypass times in multiple valve surgery may potentially
be beneficial as they can be considered independent risk factors for increased morbidity
and mortality following cardiac surgery. We report first intermediate outcomes of
the Edwards Intuity valve system (Edwards Lifesciences, Irvine, California, United
States) in combined procedures
Methods Fifty-eight patients underwent rapid deployment aortic valve replacement with concomitant
mitral valve surgery between January 2014 and November 2017 in our institution. The
valve was assessed echocardiographically after 12 months. The median follow-up was
1.7 years with a cumulative follow-up time of 115.3 patient years.
Results The mean age was 73.5 ± 6.2 years and the mean logistic Euroscore was 11.6 ± 3.1%.
Concomitant mitral valve repair was performed in 43 cases (74.1%), and mitral valve
replacement in 15 cases (19.0%). The mean cross-clamp time was 93 ± 21 minutes along
with a mean bypass time of 118 ± 24 minutes. All-cause mortality after 30 days was
8.6%. Overall actuarial survival at 1 year was 87.2 ± 4.5% and after 2 years 82.8 ± 5.3%,
respectively.
Conclusions Rapid deployment aortic valve replacement in multiple valve surgery can be performed
safely with good intermediate outcomes in elderly, high-risk patients.
Keyword
echocardiography - heart valve surgery - mitral valve surgery
