Thorac Cardiovasc Surg
DOI: 10.1055/s-0040-1713660
Original Cardiovascular
Georg Thieme Verlag KG Stuttgart · New York

Single-Center Outcomes with Rapid Deployment Aortic Valve Replacement

Markus Schlömicher
1  Department of Cardiothoracic Surgery, Ruhr University Hospital Bergmannsheil, Bochum, Germany
,
Matthias Bechtel
1  Department of Cardiothoracic Surgery, Ruhr University Hospital Bergmannsheil, Bochum, Germany
,
Dritan Useini
1  Department of Cardiothoracic Surgery, Ruhr University Hospital Bergmannsheil, Bochum, Germany
,
Hamid Naraghi
1  Department of Cardiothoracic Surgery, Ruhr University Hospital Bergmannsheil, Bochum, Germany
,
Peter Lukas Haldenwang
1  Department of Cardiothoracic Surgery, Ruhr University Hospital Bergmannsheil, Bochum, Germany
,
Vadim Moustafine
1  Department of Cardiothoracic Surgery, Ruhr University Hospital Bergmannsheil, Bochum, Germany
,
Justus T. Strauch
1  Department of Cardiothoracic Surgery, Ruhr University Hospital Bergmannsheil, Bochum, Germany
› Author Affiliations
Funding No funding for this study was provided.
Further Information

Publication History

05 February 2020

08 May 2020

Publication Date:
16 July 2020 (online)

Abstract

Objectives Rapid-deployment valves can reduce procedural times and may facilitate minimally invasive surgery. In our institution, more than 500 patients underwent rapid deployment aortic valve replacement (AVR).

Methods A total of 510 patients underwent rapid deployment AVR between March 2012 and September 2017, of whom 270 patients underwent isolated AVR and 240 underwent AVR with concomitant procedures. The cumulative follow-up time was 1,444 patient-years, the median follow-up time 2.8 years, respectively

Results An early all-cause mortality of 3.5% (n = 18) was seen with a cumulative survival of 91.9 ± 2.2% after 12 months. Mean cross-clamp times were 37 ± 19 minutes for isolated AVR and 93 ± 29 minutes for AVR with concomitant procedures. The rate of new pacemaker implantation was 7.8% (n = 40). No case of structural degeneration occurred in the follow-up. Three (0.6%) cases of endocarditis were registered.

Conclusions Rapid deployment AVR can be performed safely with low complication rates and good hemodynamic results. Therefore, the relevance in aortic valve surgery can be stressed.

Disclaimer

The authors confirm that they had full freedom of investigation and full control of the design of the study, methods used, outcome parameters and results, analysis of data, and production of the written report.