Study design and data analysis flow diagram. AVPG, aortic valve pressure gradient; AVR, aortic valve replacement; BSA, body surface area; CABG, coronary artery bypass grafting; CVA, cerebrovascular accident; eGFR, estimated glomerular filtration rate; IPTW, inverse probability of treatment weight; LVEF, left ventricular ejection fraction; LVMI, left ventricular mass index; MAP, mitral annuloplasty; MR, mitral regurgitation; NYHA Fc, New York Heart Association functional class; TAP, tricuspid annuloplasty; TR, tricuspid regurgitation.