In-hospital Outcomes of Aortic Valve Replacement in Two Community Hospitals

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Abstract

Background: The aim of this report is to present the in-hospital outcomes of surgical aortic valve replacement performed by our team within the past three years in two community hospitals in Buenos Aires.

Methods: Between January 2015 and December 2017, 125 patients with diagnosis of symptomatic severe aortic stenosis isolated or associated with coronary artery disease underwent surgery at the departments of cardiovascular surgery of Hospital Alemán and Hospital Británico in Buenos Aires.

Results: 103 patients (82.4%) belonged to the low risk category of the Society of Thoracic Surgeons (STS) score (<4) and 22 patients (17.5%) were categorized as intermediate risk (STS score 4-7%). Overall hospital mortality was 2.4% (n=3) and mortality by STS category was 1.9% for low-risk patients and 4.5% for the intermediate risk category.

Conclusions: These data represent the current results of surgical aortic valve replacement isolated or combined with coronary artery revascularization in low-risk and intermediate-risk patients in two community hospitals.