Evidence map›Paper›PMID 32008187›Full record

ArticleGeneral thoracic and cardiovascular surgery2020

Midterm outcome of aortic valve neocuspidization for aortic valve stenosis with small annulus.

Sho Akiyama, Yasunori Iida, Kazuma Shimura, Susumu Fujii, Hideyuki Shimizu, Shigeharu Sawa

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Article in General thoracic and cardiovascular surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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2citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sho AkiyamaDepartment of Cardiovascular Surgery, Ogikubo Hospital, 3-1-24 Imagawa, Suginami-ku, Tokyo, 167-0035, Japan. s_akiyama_0715@yahoo.co.jp.
Yasunori IidaDepartment of Cardiovascular Surgery, Ogikubo Hospital, 3-1-24 Imagawa, Suginami-ku, Tokyo, 167-0035, Japan.
Kazuma ShimuraDepartment of Cardiovascular Surgery, Ogikubo Hospital, 3-1-24 Imagawa, Suginami-ku, Tokyo, 167-0035, Japan.
Susumu FujiiDepartment of Cardiovascular Surgery, Ogikubo Hospital, 3-1-24 Imagawa, Suginami-ku, Tokyo, 167-0035, Japan.
Hideyuki ShimizuDepartment of Cardiovascular Surgery, Keio University, Tokyo, Japan.
Shigeharu SawaDepartment of Cardiovascular Surgery, Ogikubo Hospital, 3-1-24 Imagawa, Suginami-ku, Tokyo, 167-0035, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAt our institution, we actively perform aortic valve neocuspidization (AVNeo) for aortic valve stenosis (AS) with a small annulus. In this report, we aimed to evaluate the midterm outcome of AVNeo for AS with a small annulus.

methodsFrom February 2011 to May 2017, we performed AVNeo for AS with a small annulus in 34 patients. Their mean age was 77.0 ± 9.1 years. Preoperative transthoracic echocardiography (TTE) revealed a mean peak pressure gradient average of 84.2 ± 31.1 mmHg. The effective orifice area index (EOAi) was 0.45 ± 0.14 cm

resultsThere were no conversion to aortic valve replacement and no concomitant annulus enlargement. There were two inhospital mortalities resulting from a noncardiac cause. Three patients underwent reoperation owing to aortic regurgitation (n = 2) and infective endocarditis (n = 1). One patient underwent a pacemaker implantation for complete atrioventricular block. The mean follow-up period was 28.0 ± 22.7 months. Postoperative TTE showed a mean peak pressure gradient average of 18.3 ± 9.4 mmHg and a calculated mean EOAi of 1.18 ± 0.35 cm

conclusionsThe midterm outcome of AVNeo for AS with a small annulus was excellent. The long-term outcome and reliability of this procedure must be fully clarified.

Indexed as

AgedAged, 80 and overAortic Valve StenosisDisease-Free SurvivalEchocardiographyFemaleHumansJapanMalePericardiumReoperationAortic stenosisAvneoSmall aortic annulus

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.