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Review
. 2022 Nov 3;7(1):100098.
doi: 10.1016/j.shj.2022.100098. eCollection 2023 Jan.

Considerations for Reoperative Heart Valve Surgery

Mateo Marin-Cuartas  1 , Suzanne de Waha  1 , Diyar Saeed  1 , Martin Misfeld  1   2   3   4   5 , Philipp Kiefer  1 , Michael A Borger  1
Affiliations
Review

Considerations for Reoperative Heart Valve Surgery

Mateo Marin-Cuartas et al. Struct Heart. .

Abstract

Reoperative valve surgery is being performed with increasing frequency in the last decades. This is mainly due to the increasing use of bioprosthetic valves, a growing population of patients presenting with prosthetic valve endocarditis, and an ageing population. Reoperative valve surgery has been historically associated with poorer outcomes than primary valve surgery. However, continuous advancements in modern cardiac surgery techniques and perioperative care have led to considerable improvement in postoperative outcomes. This review outlines considerations for reoperative heart valve surgery including preoperative assessment, perioperative management, and technical surgical aspects to maximize the chances of successful outcomes in this challenging patient population.

Keywords: Aortic valve; Mitral valve; Reoperative valve surgery; Tricuspid valve.

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Conflict of interest statement

M. A. Borger discloses that his hospital receives speakers’ honoraria and/or consulting fees on his behalf from Edwards Lifesciences, Medtronic, Abbott, and CryoLife. The other authors had no conflicts to declare.

Figures

Figure 1
Figure 1
Mechanical valve (green arrow) and bovine pericardial patch for reconstruction of the posterior aspect of the mitral annulus (yellow arrow and yellow dotted area).
See this image and copyright information in PMC

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