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Ann Thorac Surg 1996;62:932-935
© 1996 The Society of Thoracic Surgeons


Report

Guidelines for Reporting Morbidity and Mortality After Cardiac Valvular Operations

L. Henry Edmunds, Jr, MD, Chairman, Richard E. Clark, MD, Lawrence H. Cohn, MD, Gary L. Grunkemeier, MD, D. Craig Miller, MD, Richard D. Weisel, MD

At the request of the Councils of The Society of Thoracic Surgeons (STS) and The American Association for Thoracic Surgery (AATS) the Ad Hoc Liaison Committee for Standardizing Definitions of Prosthetic Heart Valve Morbidity "revisited" the "Guidelines" published in September 1988 [1–3]. The purpose of the review was to update and clarify definitions within the guidelines and to consider recommendations made by others [4, 5]. The variety of cardiac valvular procedures has expanded since 1988; therefore, in this document the term "operated valve" indicates prosthetic and bioprosthetic heart valves of all types: operated or repaired native valves and allograft and autograft valves. The term "operated valve" includes any cardiac valve altered by a surgeon during an operation.

Much morbidity and mortality is a direct consequence of the interaction between the patient and operated valve(s), although patient variables (eg, age, degree of coronary arterial disease, follow-up care) may be more responsible for outcomes than an operated valve. However, no set of guidelines can identify all possible patient factors that may affect morbidity and mortality. General agreement regarding the following definitions of terms and suggestions for reporting data do not preclude more detailed analyses or constructive recommendations and investigators are encouraged to identify relevant patient factors in addition to factors related to operated valves.




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J. P.A. Puvimanasinghe, J. J.M. Takkenberg, M. J.C. Eijkemans, L. A. van Herwerden, W.R. E. Jamieson, G. L. Grunkemeier, J. D. F. Habbema, and A. J.J.C. Bogers
Comparison of Carpentier-Edwards pericardial and supraannular bioprostheses in aortic valve replacement
Eur. J. Cardiothorac. Surg., March 1, 2006; 29(3): 374 - 379.
[Abstract] [Full Text] [PDF]


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Eur. J. Cardiothorac. Surg.Home page
S. O. Shebani, S. McGuirk, M. Baghai, J. Stickley, J. V. De Giovanni, F. A. Bu'Lock, D. J. Barron, and W. J. Brawn
Right ventricular outflow tract reconstruction using Contegra(R) valved conduit: natural history and conduit performance under pressure
Eur. J. Cardiothorac. Surg., March 1, 2006; 29(3): 397 - 405.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
Aortic root replacement after previous surgical intervention on the aortic valve, aortic root, or ascending aorta.
J. Thorac. Cardiovasc. Surg., March 1, 2006; 131(3): 601 - 608.



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Eur. J. Cardiothorac. Surg.Home page
L. Englberger, H. V. Schaff, W.R. E. Jamieson, E. D. Kennard, K. A. Im, R. Holubkov, T. P. Carrel, and for the AVERT Investigators
Importance of implant technique on risk of major paravalvular leak (PVL) after St. Jude mechanical heart valve replacement: a report from the Artificial Valve Endocarditis Reduction Trial (AVERT)
Eur. J. Cardiothorac. Surg., December 1, 2005; 28(6): 838 - 843.
[Abstract] [Full Text] [PDF]


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Asian Cardiovasc. Thorac. Ann.Home page
X.-M. Zhou, W. Zhuang, J.-G. Hu, J.-M. Li, J.-F. Yu, and L. Jiang
Low-Dose Anticoagulation in Chinese Patients with Mechanical Heart Valves
Asian Cardiovasc Thorac Ann, December 1, 2005; 13(4): 341 - 344.
[Abstract] [Full Text] [PDF]


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ICVTSHome page
U. Ozyurda, A. R. Akar, O. Uymaz, M. Oguz, M. Ozkan, C. Yildirim, A. Aslan, and R. Tasoz
Early clinical experience with the On-X prosthetic heart valve
Interactive CardioVascular and Thoracic Surgery, December 1, 2005; 4(6): 588 - 594.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
J. P.A. Puvimanasinghe, J. J.M. Takkenberg, M. J.C. Eijkemans, E. W. Steyerberg, L. A. van Herwerden, G. L. Grunkemeier, J. D. F. Habbema, and A. J.J.C. Bogers
Prognosis After Aortic Valve Replacement With the Carpentier-Edwards Pericardial Valve: Use of Microsimulation
Ann. Thorac. Surg., September 1, 2005; 80(3): 825 - 831.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
F. Filsoufi, A. C. Anyanwu, S. P. Salzberg, T. Frankel, L. H. Cohn, and D. H. Adams
Long-Term Outcomes of Tricuspid Valve Replacement in the Current Era
Ann. Thorac. Surg., September 1, 2005; 80(3): 845 - 850.
[Abstract] [Full Text] [PDF]


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CirculationHome page
K. Kallenbach, M. Karck, D. Pak, R. Salcher, N. Khaladj, R. Leyh, C. Hagl, and A. Haverich
Decade of Aortic Valve Sparing Reimplantation: Are We Pushing the Limits Too Far?
Circulation, August 30, 2005; 112(9_suppl): I-253 - I-259.
[Abstract] [Full Text] [PDF]


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CirculationHome page
C. J. Barreiro, N. D. Patel, T. P. Fitton, J. A. Williams, P. N. Bonde, V. Chan, D. E. Alejo, V. L. Gott, and W. A. Baumgartner
Aortic Valve Replacement and Concomitant Mitral Valve Regurgitation in the Elderly: Impact on Survival and Functional Outcome
Circulation, August 30, 2005; 112(9_suppl): I-443 - I-447.
[Abstract] [Full Text] [PDF]


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Eur. J. Cardiothorac. Surg.Home page
Z. A. Halees, M. A. Shahid, A. A. Sanei, A. Sallehuddin, and C. Duran
Up to 16 years follow-up of aortic valve reconstruction with pericardium: a stentless readily available cheap valve?
Eur. J. Cardiothorac. Surg., August 1, 2005; 28(2): 200 - 205.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
L. S. De Santo, G. Romano, A. D. Corte, F. Tizzano, A. Petraio, C. Amarelli, M. De Feo, G. Dialetto, M. Scardone, and M. Cotrufo
Mitral mechanical replacement in young rheumatic women: Analysis of long-term survival, valve-related complications, and pregnancy outcomes over a 3707-patient-year follow-up
J. Thorac. Cardiovasc. Surg., July 1, 2005; 130(1): 13 - 19.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
U. K. Chowdhury, A. S. Kumar, B. Airan, D. Mittal, K. G. Subramaniam, R. Prakash, S. Seth, R. Singh, and P. Venugopal
Mitral Valve Replacement With and Without Chordal Preservation in a Rheumatic Population: Serial Echocardiographic Assessment of Left Ventricular Size and Function
Ann. Thorac. Surg., June 1, 2005; 79(6): 1926 - 1933.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
C. H. Kang, H. Ahn, K. H. Kim, and K.-B. Kim
Long-Term Result of 1144 CarboMedics Mechanical Valve Implantations
Ann. Thorac. Surg., June 1, 2005; 79(6): 1939 - 1944.
[Abstract] [Full Text] [PDF]


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Asian Cardiovasc. Thorac. Ann.Home page
M. Tamim, T. Bove, Y. Van Belleghem, K. Francois, Y. Taeymans, and G. J Van Nooten
Stentless vs. Stented Aortic Valve Replacement: Left Ventricular Mass Regression
Asian Cardiovasc Thorac Ann, June 1, 2005; 13(2): 112 - 118.
[Abstract] [Full Text] [PDF]


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Asian Cardiovasc. Thorac. Ann.Home page
M. Tamim, T. Bove, Y. Van Belleghem, F. Caes, K. Francois, and G. J Van Nooten
Aortic Valve Replacement with Toronto SPV in Elderly Patients: 10-Year Results
Asian Cardiovasc Thorac Ann, June 1, 2005; 13(2): 143 - 148.
[Abstract] [Full Text] [PDF]


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Eur. J. Cardiothorac. Surg.Home page
J. I. Aramendi, C.-A. Mestres, J. Martinez-Leon, V. Campos, G. Munoz, and C. Navas
Triflusal versus oral anticoagulation for primary prevention of thromboembolism after bioprosthetic valve replacement (trac): prospective, randomized, co-operative trial
Eur. J. Cardiothorac. Surg., May 1, 2005; 27(5): 854 - 860.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
G. De Cicco, R. Lorusso, A. Colli, F. Nicolini, C. Fragnito, T. Grimaldi, B. Borrello, A. M. Budillon, T. Gherli, and C. Beghi
Aortic Valve Periprosthetic Leakage: Anatomic Observations and Surgical Results
Ann. Thorac. Surg., May 1, 2005; 79(5): 1480 - 1485.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
F. Dagenais, P. Cartier, P. Voisine, D. Desaulniers, J. Perron, R. Baillot, G. Raymond, J. Metras, D. Doyle, and P. Mathieu
Which biologic valve should we select for the 45- to 65-year-old age group requiring aortic valve replacement?
J. Thorac. Cardiovasc. Surg., May 1, 2005; 129(5): 1041 - 1049.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
M. F. O'Brien, M. A.H. Gardner, B. Garlick, H. Jalali, J. A. Gordon, S. L. Whitehouse, W. E. Strugnell, and R. Slaughter
CryoLife-O'Brien Stentless Valve: 10-Year Results of 402 Implants
Ann. Thorac. Surg., March 1, 2005; 79(3): 757 - 766.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
F. W. Mohr, S. Lehmann, V. Falk, S. Metz, C. Walther, N. Doll, A. Rastan, J. Gummert, and T. Walther
Clinical Experience With Stentless Mitral Valve Replacement
Ann. Thorac. Surg., March 1, 2005; 79(3): 772 - 775.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
R. Tominaga, K. Kurisu, Y. Ochiai, Y. Tomita, M. Masuda, S. Morita, and H. Yasui
A 10-Year Experience With the Carbomedics Cardiac Prosthesis
Ann. Thorac. Surg., March 1, 2005; 79(3): 784 - 789.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
D. D. Potter, T. M. Sundt III, K. J. Zehr, J. A. Dearani, R. C. Daly, C. J. Mullany, C. G.A. McGregor, F. J. Puga, H. V. Schaff, and T. A. Orszulak
Operative risk of reoperative aortic valve replacement
J. Thorac. Cardiovasc. Surg., January 1, 2005; 129(1): 94 - 103.
[Abstract] [Full Text] [PDF]


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Asian Cardiovasc. Thorac. Ann.Home page
H.-Q. T. Ho, V.-P. Nguyen, K.-P. Phan, and N.-V. Pham
Mitral Valve Repair with Aortic Valve Replacement in Rheumatic Heart Disease
Asian Cardiovasc Thorac Ann, December 1, 2004; 12(4): 341 - 345.
[Abstract] [Full Text] [PDF]


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HeartHome page
J P A Puvimanasinghe, J J M Takkenberg, M B Edwards, M J C Eijkemans, E W Steyerberg, L A van Herwerden, K M Taylor, G L Grunkemeier, J D F Habbema, and A J J C Bogers
Comparison of outcomes after aortic valve replacement with a mechanical valve or a bioprosthesis using microsimulation
Heart, October 1, 2004; 90(10): 1172 - 1178.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. Walther, S. Lehmann, V. Falk, S. Metz, N. Doll, A. Rastan, M. Viehweg, M. Richter, J. Gummert, and F. W. Mohr
Prospectively Randomized Evaluation of Stented Xenograft Hemodynamic Function in the Aortic Position
Circulation, September 14, 2004; 110(11_suppl_1): II-74 - II-78.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
V. DiGregorio, K. J. Zehr, T. A. Orszulak, C. J. Mullany, R. C. Daly, J. A. Dearani, and H. V. Schaff
Results of mitral surgery in octogenarians with isolated nonrheumatic mitral regurgitation
Ann. Thorac. Surg., September 1, 2004; 78(3): 807 - 813.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
R. G. Masters, M. Haddad, A. L. Pipe, J. P. Veinot, and T. Mesana
Clinical outcomes with the Hancock II bioprosthetic valve
Ann. Thorac. Surg., September 1, 2004; 78(3): 832 - 836.
[Abstract] [Full Text] [PDF]


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Eur. J. Cardiothorac. Surg.Home page
S. A. LeMaire, A. L. Jamison, S. A. Carter, S. Wen, S. Alankar, and J. S. Coselli
Deployment of balloon expandable stents during open repair of thoracoabdominal aortic aneurysms: a new strategy for managing renal and mesenteric artery lesions
Eur. J. Cardiothorac. Surg., September 1, 2004; 26(3): 599 - 607.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
R. Vink, R. A. Kraaijenhagen, and M. Levi
Reply
J. Am. Coll. Cardiol., September 1, 2004; 44(5): 1144 - 1145.
[Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
T. Sioris, T. E. David, J. Ivanov, S. Armstrong, and C. M. Feindel
Clinical outcomes after separate and composite replacement of the aortic valve and ascending aorta
J. Thorac. Cardiovasc. Surg., August 1, 2004; 128(2): 260 - 265.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
G. Gao, Y. Wu, G. L. Grunkemeier, A. P. Furnary, and A. Starr
Durability of pericardial versus porcine aortic valves
J. Am. Coll. Cardiol., July 21, 2004; 44(2): 384 - 388.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
S. W. Jamieson and M. M. Madani
The choice of valve protheses
J. Am. Coll. Cardiol., July 21, 2004; 44(2): 389 - 390.
[Full Text] [PDF]


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Ann. Thorac. Surg.Home page
D. D. Potter, T. M. Sundt III, K. J. Zehr, J. A. Dearani, R. C. Daly, C. J. Mullany, C. G. A. McGregor, F. J. Puga, H. V. Schaff, and T. A. Orszulak
Risk of repeat mitral valve replacement for failed mitral valve prostheses
Ann. Thorac. Surg., July 1, 2004; 78(1): 67 - 72.
[Abstract] [Full Text] [PDF]


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Asian Cardiovasc. Thorac. Ann.Home page
N. A G Solomon, R. C H Lim, P. Nand, and K. J Graham
Tricuspid Valve Replacement: Bioprosthetic or Mechanical Valve?
Asian Cardiovasc Thorac Ann, June 1, 2004; 12(2): 143 - 148.
[Abstract] [Full Text] [PDF]




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