Table 4. Operative characteristics, primary and secondary outcomes.
Total (n=208) | ACC group (n=102) | BH group (n=106) | 95% CI | ||||||||||||||||
n | % | Mean±SD | n | % | Mean±SD | n | % | Mean±SD | Median | p | |||||||||
Aortic cross-clamp time (min) | 86.5±22.8 | 97.8±21.6 | 75.2±18.1 | 1.22-1.39 | 0.0001 | ||||||||||||||
Cardiopulmonary bypass time (min) | 120.8±18.4 | 140.7±17.3 | 101.6±15.7 | 1.33-1.44 | 0.0001 | ||||||||||||||
Selected annuloplasty ring size | 31.6±1.6 | 31.5±1.6 | 31.6±1.6 | 0.98-1.01 | 0.65 | ||||||||||||||
Prolonged inotropic dependency* | 135 | 65 | 78 | 76 | 57 | 54 | 0.0008 | ||||||||||||
Re-exploration for bleeding | 10 | 5 | 4 | 4 | 6 | 6 | 0.74 | ||||||||||||
Postoperative RBBB | 16 | 8 | 9 | 9 | 7 | 7 | 0.60 | ||||||||||||
Postoperative LBBB | 19 | 9 | 14 | 14 | 5 | 5 | 0.03 | ||||||||||||
Need for temporary pacemaker | 36 | 17 | 20 | 20 | 16 | 15 | 0.46 | ||||||||||||
Duration of mechanical ventilation (h) |
10.6±4.8 | 10.4±4.7 | 10.8±4.8 | 0.85-1.09 | 0.57 | ||||||||||||||
Postoperative length of ICU stay (days) |
2.4±1.99 | 2.42±2.01 | 2.37±1.97 | 0.81-1.28 | 0.85 | ||||||||||||||
Postoperative length of hospital stay (days) | 8.31±2.53 | 8.35±2.62 | 8.27±2.41 | 0.92-1.09 | 0.81 | ||||||||||||||
In-hospital mortality | 14 | 7 | 7 | 7 | 7 | 7 | 1.00 | ||||||||||||
Discharged patients | |||||||||||||||||||
n=194 | n=95 | n=99 | |||||||||||||||||
n | % | n | % | n | % | p | |||||||||||||
Permanent pacemaker requirement | 15 | 8 | 12 | 13 | 3 | 3 | 0.0143 | ||||||||||||
Indication for permanent pacemaker implantation High degree AV block Sinus node dysfunction |
12 3 |
80 20 |
10 2 |
83 17 |
2 1 |
67 33 |
0.5165 | ||||||||||||
>2+ TR (at discharge) | 18 | 9 | 15 | 16 | 3 | 3 | 0.0023 | ||||||||||||
>2+ TR (at first year) | 30 | 15 | 22 | 23 | 8 | 8 | 0.0048 | ||||||||||||
ACC: Aortic cross-clamping; BH: Beating heart; CI: Confidence interval; SD: Standard deviation; RBBB: Right bundle branch block; LBBB: Right bundle branch block; ICU: Intensive care unit; TR: Tricuspid regurgitation; * Postoperative inotrope/vasopressor use including dobutamine (5 μg/kg/min), dopamine (>5 μg/kg/min), norepinephrine (>0.1 μg/kg/min), milrinone, epinephrine, phenylephrine, and vasopressin 24 hours after skin closure was defined as prolonged inotropic dependency. |