Table 2. Outcome estimates—aortic valve replacement.
Variable | Mechanical AVR | Bioprosthetic AVR | Ross | |||||
---|---|---|---|---|---|---|---|---|
Pooled estimate | 95% CI | Pooled estimate | 95% CI | Pooled estimate | 95% CI | |||
Early <30 days (%) | ||||||||
Mortality | 3.15 | 2.37–4.21 | 3.3 | 2.39–4.55 | 2.01 | 1.44–2.82 | ||
Re-exploration for bleeding | 5.15 | 2.57–11.81 | 4.08 | 1.96–8.51 | ||||
Peripheral bleeding | 0.41 | 0.15–1.09 | ||||||
Thromboembolism | 1.6 | 0.89–2.87 | ||||||
Stroke | 1.55 | 0.98–2.46 | ||||||
Transient ischemic attack | 0.81 | 0.38–1.72 | ||||||
Valve thrombosis | 0.3 | 0.09–1.05 | ||||||
Myocardial infarction | 0.87 | 0.40–1.87 | ||||||
Endocarditis | 0.43 | 0.16–1.13 | ||||||
DSI/mediastinitis | 2.48 | 1.56–3.94 | ||||||
Pacemaker implantation | 3.53 | 2.47–5.05 | ||||||
Late >30 days (%/y) | ||||||||
Overall mortality | 1.55 | 1.25–1.92 | 2.39 | 1.13–2.94 | 0.59 | 0.46–0.76 | ||
Cardiac | 0.95 | 0.71–1.27 | 0.96 | 0.71–1.29 | 0.24 | 0.17–0.33 | ||
Valve-related | 0.6 | 0.44–0.81 | 0.6 | 0.37–0.98 | 0.21 | 0.14–0.32 | ||
SUUD | 0.37 | 0.26–0.54 | 0.3 | 0.12–0.76 | 0.16 | 0.10–0.25 | ||
Valve-related reoperation | 0.51 | 0.37–0.71 | 1.82 | 1.31–2.52 | 1.2 | 1.01–1.42 | ||
Ross autograft | 0.83 | 0.68–1.01 | ||||||
Ross RVOT | 0.47 | 0.37–0.59 | ||||||
Hemorrhage | 0.85 | 0.65–1.12 | 0.22 | 0.16–0.32 | 0.1 | 0.01–0.67 | ||
Thromboembolism | 0.9 | 0.68–1.21 | 0.53 | 0.42–0.67 | 0.17 | 0.11–0.27 | ||
Valve thrombosis | 0.14 | 0.08–0.25 | 0.07 | 0.02–0.20 | 0.03 | 0.01–0.09 | ||
SVD | 0.00 | 0.00–0.00 | 1.59 | 1.21–2.10 | ||||
NSVD | 0.39 | 0.21–0.76 | 0.24 | 0.10–0.58 | ||||
Endocarditis | 0.41 | 0.29–0.57 | 0.48 | 0.37–0.62 | ||||
Ross autograft | 0.18 | 0.09–0.39 | ||||||
Ross RVOT | 0.14 | 0.09–0.21 | ||||||
Pacemaker implantation | 0.25 | 0.05–1.17 |
AVR, aortic valve replacement; Ross, the Ross procedure; CI, confidence interval; DSI, deep sternal wound infection; RVOT, right ventricular outflow tract.