Evidence map›Paper›PMID 39452299›Full record

ArticleJournal of cardiovascular development and disease2024

Gender-Tailored Heart Team Decision Making Equalizes Outcomes for Female Patients after Aortic Valve Replacement through Right Anterior Small Thoracotomy (RAST).

Isabel Lavanchy, Laina Passos, Thierry Aymard, Jürg Grünenfelder, Maximilian Y Emmert, Roberto Corti, Oliver Gaemperli, Patric Biaggi, Diana Reser

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Article in Journal of cardiovascular development and disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Isabel LavanchyDepartment of Cardiac Surgery and Cardiology, Heart Clinic, Hirslanden Hospital, Witellikerstrasse 40, 8032 Zurich, Switzerland.
Laina PassosDepartment of Cardiac and Vascular Surgery, University Hospital Bern, Freiburgstrasse 20, 3010 Bern, Switzerland.
Thierry AymardDepartment of Cardiac Surgery and Cardiology, Heart Clinic, Hirslanden Hospital, Witellikerstrasse 40, 8032 Zurich, Switzerland.
Jürg GrünenfelderDepartment of Cardiac Surgery and Cardiology, Heart Clinic, Hirslanden Hospital, Witellikerstrasse 40, 8032 Zurich, Switzerland.ORCID 0009-0001-7796-8517
Maximilian Y EmmertDeutsches Herzzentrum der Charite (DHZC), Department of Cardiothoracic and Vascular Surgery, 13353 Berlin, Germany.
Roberto CortiDepartment of Cardiac Surgery and Cardiology, Heart Clinic, Hirslanden Hospital, Witellikerstrasse 40, 8032 Zurich, Switzerland.ORCID 0000-0003-4598-7470
Oliver GaemperliDepartment of Cardiac Surgery and Cardiology, Heart Clinic, Hirslanden Hospital, Witellikerstrasse 40, 8032 Zurich, Switzerland.
Patric BiaggiDepartment of Cardiac Surgery and Cardiology, Heart Clinic, Hirslanden Hospital, Witellikerstrasse 40, 8032 Zurich, Switzerland.
Diana ReserDepartment of Cardiac Surgery and Cardiology, Heart Clinic, Hirslanden Hospital, Witellikerstrasse 40, 8032 Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about gender-dependent outcomes after aortic valve replacement (AVR) through right anterior thoracotomy (RAST). The aim of our study was to analyze the mid-term outcomes of our cohort.

methodsThis study is a retrospective analysis of 338 patients (2013-2022). Subgroup analysis included a gender-dependent comparison of age groups ≤60 and >60 years.

resultsWomen were older (69.27 ± 7.98 vs. 64.15 ± 11.47,

conclusionsDespite older age, higher Euroscore II, longer ICU and hospital stay in women, mortality, MACCE and reoperation were low and comparable in gender and age groups. We believe that our patient-tailored heart team decision making combined with RAST translates into gender-tailored medicine, which equalizes the widely reported negative outcomes of female patients after cardiac surgery.

Indexed as

aortic stenosisaortic valve replacementgender-related outcomesminimally invasive aortic valve replacement (MIAVR)minimally invasive aortic valve surgeryright anterior small thoracotomy (RAST)

Identifiers

PMID39452299
PMCPMC11508425

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