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European Journal of Cardio-Thoracic Surgery, Vol 10, 812-816, Copyright © 1996 by European Association for Cardio-thoracic Surgery
LH Edmunds Jr, RE Clark, LH Cohn, GL Grunkemeier, DC Miller and RD Weisel
At the request of the Councils of the Society of Thoracic Surgeons (STS)
and the American Association of Thoracic Surgery (AATS) the Ad Hoc Liaison
Committee for Standardizing Definitions of Prosthetic Heart Valve Morbidity
reviewed the "Guidelines" published in September 1988 [3, 7, 8]. The
purpose of the review was to update and clarify definitions within the
guidelines and to consider recommendations made by other [2, 11]. The
variety of cardiac valvular procedures has expanded since 1988; therefore,
in this document the term "operated valve" indicates prosthetic and
bioprosthetic heart valves of all types, operated or repaired native valves
and allograft and autograft valves. The term "operated valve" includes any
cardiac valve altered by a surgeon during an operation. Much morbidity and
mortality is a direct consequence of the interaction between the patient
and operated valve(s), although patient variables (e.g., age, degree of
coronary arterial disease, follow-up care, etc.) may be more responsible
for outcomes than an operated valve. However, no set of guidelines can
identify all possible patient factors that may affect morbidity and
mortality. General agreement regarding the following definitions of terms
and suggestions for reporting data do not preclude more detailed analyses
or constructive recommendations and investigators are encouraged to
identify relevant patient factors in addition to factors related to
operated valves. Purpose The purpose of these guidelines is to facilitate
the analysis and reporting of results of operations on diseased cardiac
valves. The definitions and recommendations that follow are guidelines, not
standards, and are designed to facilitate comparisons between the
experiences of different surgeons who treat different cohorts of patients
at different times with different techniques and materials.
ARTICLES
Guidelines for reporting morbidity and mortality after cardiac valvular operations
Dept. of Surgery, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
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O. Lund, H. K. Pilegaard, L. B. Ilkjaer, S. L. Nielsen, and H. Arildsen Performance profile of the Starr-Edwards aortic cloth covered valve, track valve, and silastic ball valve Eur. J. Cardiothorac. Surg., October 1, 1999; 16(4): 403 - 413. [Abstract] [Full Text] [PDF]
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U. Demirkilic, E. Kuralay, E. Ozal, H. Bingol, C. Sag, A. T Yilmaz, and H. Tatar Medium-Term Outcome With Small Size ATS Medical Valves in Aortic Position Asian Cardiovasc Thorac Ann, September 1, 1998; 6(3): 183 - 187. [Abstract] [Full Text] [PDF]
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G. Asimakopoulos, M.-B. Edwards, and K. M. Taylor Aortic Valve Replacement in Patients 80 Years of Age and Older : Survival and Cause of Death Based on 1100 Cases: Collective Results From the UK Heart Valve Registry Circulation, November 18, 1997; 96(10): 3403 - 3408. [Abstract] [Full Text]
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