Table 1 Preoperative characteristics of patients combined with moderate aortic regurgitation .
Characteristic | Total (N = 338) | NT (N = 128) | AVP (N = 91) | AVR (N = 119) | P value |
|---|---|---|---|---|---|
Age (y) | 55.20 ± 10.71 | 55.14 ± 11.97 | 54.20 ± 10.61 | 56.03 ± 9.26 | 0.47 |
Female | 225 (66.6) | 87 (68.0) | 64 (70.3) | 74 (62.2) | 0.42 |
BMI (kg/m2) | 23.73 ± 3.08 | 23.81 ± 3.30 | 23.59 ± 2.90 | 23.75 ± 2.98 | 0.87 |
BSA (m2) | 1.66 ± 0.17 | 1.66 ± 0.17 | 1.64 ± 0.17 | 1.67 ± 0.17 | 0.49 |
Hypertension | 59 (17.5) | 24 (18.8) | 17 (18.7) | 18 (15.1) | 0.71 |
Diabetes mellitus | 30 (8.9) | 7 (5.5) | 8 (8.8) | 15 (12.6) | 0.14 |
Coronary artery disease | 38 (11.2) | 15 (11.7) | 10 (11.0) | 13 (10.9) | 0.98 |
Stroke | 34 (10.1) | 11 (8.6) | 6 (6.6) | 17 (14.3) | 0.15 |
Chronic pulmonary disease | 16 (4.7) | 6 (4.7) | 4 (4.4) | 6 (5.0) | 0.98 |
Atrial fibrillation | 226 (66.9) | 85 (65.6) | 62 (68.1) | 80 (67.2) | 0.92 |
Cardiac surgery history | 16 (4.8) | 8 (6.2) | 2 (2.2) | 6 (5.1) | 0.38 |
NYHA functional class | < 0.001†‡ | ||||
I-II | 206 (60.9) | 85 (66.4) | 65 (71.4) | 56 (41.1) | |
III-IV | 132 (39.1) | 43 (33.6) | 26 (28.6) | 63 (52.9) | |
PAH | 157 (46.7) | 59 (46.1) | 40 (44.0) | 59 (49.6) | 0.71 |
Mitral stenosis | 0.13 | ||||
None or trace | 8 (2.4) | 4 (3.1) | 1 (1.1) | 3 (2.5) | |
Mild | 49 (14.5) | 15 (11.7) | 18 (19.8) | 16 (13.4) | |
Moderate | 82 (24.3) | 28 (21.9) | 16 (17.6) | 38 (31.9) | |
Severe | 199 (58.9) | 81 (63.3) | 56 (61.5) | 62 (52.1) | |
Mitral valve area (cm2) | 1.20 (0.90, 1.50) | 1.10 (0.90,1.49) | 1.28 (1.00,1.63) | 1.18 (0.90,1.50) | 0.21 |
Mitral regurgitation | 0.18 | ||||
None or trace | 47 (13.9) | 25 (19.5) | 10 (11.0) | 12 (10.1) | |
Mild | 100 (29.6) | 30 (23.4) | 28 (30.8) | 42 (35.3) | |
Moderate | 74 (21.9) | 28 (21.9) | 18 (19.8) | 28 (23.5) | |
Severe | 117 (34.6) | 45 (35.2) | 35 (38.5) | 37 (31.1) | |
Aortic stenosis | < 0.001†‡ | ||||
None or trace | 244 (72.2) | 107 (83.6) | 71 (78.0) | 66 (55.5) | |
Mild | 94 (27.8) | 21 (16.4) | 20 (22.0) | 53 (44.5) | |
Aortic valve peak velocity (cm/s) | 193.12 ± 50.72 | 174.93 ± 47.63 | 195.29 ± 46.92 | 212.23 ± 50.02 | < 0.001*†‡ |
Aortic valve calcification | 131 (39.5) | 33 (25.8) | 31 (34.1) | 67 (59.3) | < 0.001†‡ |
Regurgitation area of aortic valve (cm2) | 5.44 ± 1.27 | 4.96 ± 1.21 | 5.43 ± 1.29 | 5.84 ± 1.19 | 0.001*† |
VCW of aortic valve (mm) | 4.16 ± 0.81 | 3.85 ± 0.66 | 4.24 ± 0.85 | 4.46 ± 0.81 | < 0.001*† |
Tricuspid regurgitation | 0.83 | ||||
None or trace | 23 (6.8) | 7 (5.5) | 6 (6.6) | 10 (8.4) | |
Mild | 141 (41.7) | 56 (43.8) | 36 (39.6) | 49 (41.2) | |
Moderate | 104 (30.8) | 35 (27.3) | 32 (35.2) | 37 (31.1) | |
Severe | 70 (20.7) | 30 (23.4) | 17 (18.7) | 23 (19.3) | |
LVEDD (mm) | 49.34 ± 5.78 | 48.08 ± 5.25 | 49.57 ± 5.66 | 50.56 ± 6.19 | 0.003*† |
LVESD (mm) | 33.30 ± 5.46 | 32.30 ± 4.77 | 33.74 ± 5.70 | 34.10 ± 5.84 | 0.02*† |
LVEF (%) | 59.72 ± 7.10 | 59.60 ± 7.03 | 59.91 ± 6.84 | 59.71 ± 7.41 | 0.95 |
Left atrial (mm) | 50.38 ± 8.52 | 50.51 ± 7.85 | 50.30 ± 9.36 | 50.29 ± 8.63 | 0.98 |
Combined surgery | |||||
Ablation | 224 (66.3) | 84 (65.6) | 63 (69.2) | 77 (64.7) | 0.78 |
Thrombectomy | 25 (7.4) | 6 (4.7) | 10 (11.0) | 9 (7.6) | 0.21 |
CABG | 18 (5.3) | 6 (4.7) | 6 (6.6) | 6 (5.0) | 0.81 |
Tricuspid surgery | 315 (93.2) | 121 (94.5) | 85 (93.4) | 109 (91.6) | 0.66 |
Mitral valve surgery | |||||
Mitral valve repair | 223 (66.0) | 96 (75.0) | 76 (83.5) | 51 (42.9) | < 0.001†‡ |
Mechanical valve | 72 (21.3) | 16 (12.5) | 11 (12.1) | 45 (37.8) | < 0.001†‡ |
Biological valve | 43 (12.7) | 16 (12.5) | 4 (4.4) | 23 (19.3) | 0.01‡ |