Commentary: Outcomes of Surgical Aortic Valve or Root Replacement in Patients on Hemodialysis: Lessons Learned and Remaining Challenges

  • Ko Bando
    Address reprint requests to Ko Bando, MD, PhD, Department of Cardiac Surgery, The Jikei University School of Medicine, 3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
    Department of Cardiac Surgery, The Jikei University School of Medicine, Tokyo, Japan
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      Hemodialysis patients undergoing aortic valve or root replacement are at high risk for early/late mortality. Simplified surgical options or transcatheter approach may be preferable.
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      Linked Article

      • Outcomes in Patients With Chronic Renal Failure on Hemodialysis After Aortic Valve or Root Replacement
        Seminars in Thoracic and Cardiovascular SurgeryVol. 34Issue 3
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          The long-term survival and reoperation rate in chronic renal failure (CRF) on hemodialysis (HD) patients after aortic valve/root replacement (AVR/ARR) with a stentless bioprosthesis is unknown. From 1992–2015, 1941 patients underwent AVR/ARR with stentless valve for primary indications of aortic stenosis/insufficiency, root aneurysm, and acute type A aortic dissection, including 93 CRF-HD (64 new-onset postoperative HD, and 29 preoperative HD) and 1848 non-CRF-HD. Data was obtained from the STS database, retrospective chart review, administered surveys and national death index data.
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