Table 1.
Baseline and Operative Characteristics
| MVS Alone (N=203) | MVS + TA (N=198) | |
|---|---|---|
| Age (years) | 68.2 ± 9.7 | 66.6 ± 10.7 |
| Male | 153/203 (75.4) | 147/198 (74.2) |
| White | 184/197 (93.4) | 182/189 (96.3) |
| Hispanic or Latino | 0/192 (0.0) | 6/193 (3.1) |
| BMI (kg/m2) | 26.3 ± 4.5 | 26.6 ± 4.5 |
| Medical History | ||
| Atrial Fibrillation | 90/203 (44.3) | 87/198 (43.9) |
| Ventricular Arrhythmia | 14/203 (6.9) | 17/198 (8.6) |
| Myocardial Infarction | 12/203 (5.9) | 7/198 (3.5) |
| Hypertension | 124/203 (61.1) | 111/198 (56.1) |
| Diabetes | 10/203 (4.9) | 16/198 (8.1) |
| Echocardiographic Measures | ||
| LVEF (%) | 64.3 ± 7.4 | 64.1 ± 7.1 |
| LV EDV (ml) | 165.0 ± 48.8 | 160.3 ± 50.4 |
| LV ESV (ml) | 60.7 ± 27.4 | 58.4 ± 25.8 |
| Severe MR | 187/202 (92.6) | 178/193 (92.2) |
| Moderate TR | 76/202 (37.6) | 73/197 (37.1) |
| TV annulus dimension - AP4 view (mm) | 42.2 ± 4.7 | 42.0 ± 4.6 |
| RV D1 basal (mm) | 44.7 ± 5.9 | 43.2 ± 6.2 |
| RV fractional area change (%) | 42.6 ± 7.6 | 43.1 ± 7.4 |
| Normal RV Function | 181/202 (89.6) | 179/196 (91.3) |
| Functional Status and QOL | ||
| NYHA Class III/IV | 68/203 (33.5) | 53/197 (26.9) |
| Six minute walk distance (feet) | 1259.9 ± 396.2 | 1327.9 ± 407.1 |
| SF-12 Physical Health T-Score | 41.9 ± 10.8 | 43.4 ± 11.5 |
| SF-12 Mental Health T-Score | 51.3 ± 9.6 | 51.4 ± 10.3 |
| EQ-5D VAS | 72.8 ± 18.1 | 73.7 ± 18.3 |
| KCCQ Overall Summary Score | 68.0 ± 22.4 | 69.4 ± 23.7 |
| Operative Characteristics | ||
| Cardiopulmonary Bypass Time (minutes) | 132.6 ± 58.8 | 166.1 ± 69.3 |
| Aortic Cross Clamp time (minutes) | 92.5 ± 37.2 | 106.9 ± 37.1 |
| Approach | ||
| Sternotomy | 103/203 (50.7) | 108/198 (54.5) |
| Right Mini-thoracotomy | 100/203 (49.3) | 90/198 (45.5) |
| MV Procedure | ||
| MV Repair | 178/203 (87.7) | 182/198 (91.9) |
| MV Replacement | 25/203 (12.3) | 16/198 (8.1) |
| TV Procedure | ||
| None | 201/203 (99.0) | 2/198 (1.0) |
| TV Repair | 1/203 (0.5) | 196/198 (99.0) |
| TV Replacement | 1/203 (0.5) | 0/198 (0.0) |
| Any Concomitant Procedure | 109/203 (53.7) | 105/198 (53.0) |
| CABG | 22/203 (10.8) | 21/198 (10.6) |
| MAZE | 49/203 (24.1) | 56/198 (28.3) |
| LAA closure | 50/203 (24.6) | 58/198 (29.3) |
| Closure of PFO | 25/203 (12.3) | 29/198 (14.6) |