{"id":8104,"date":"2025-07-24T14:22:43","date_gmt":"2025-07-24T11:22:43","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=8104"},"modified":"2025-07-24T14:22:43","modified_gmt":"2025-07-24T11:22:43","slug":"how-pairing-savr-with-additional-heart-surgeries-affects-mortality-risk","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/how-pairing-savr-with-additional-heart-surgeries-affects-mortality-risk\/","title":{"rendered":"How pairing SAVR with additional heart surgeries affects mortality risk"},"content":{"rendered":"<div>How pairing SAVR with additional heart surgeries affects mortality risk<\/div>\n<div><\/div>\n<div>Published: July 21, 2025<\/div>\n<div>Journal of the American College of Cardiology<\/div>\n<div><\/div>\n<div>Key Scientific Points:<\/div>\n<div><span> 1. Study Objective: Evaluate outcomes of patients undergoing surgical aortic valve replacement (SAVR) with or without concomitant procedures (e.g., CABG, mitral\/tricuspid repair).<\/span><\/div>\n<div><span> 2. Methodology:<\/span><\/div>\n<div><span> \u2022 Retrospective cohort using U.S. Medicare data (2017\u20132022).<\/span><\/div>\n<div><span> \u2022 Included &gt;100,000 SAVR patients (no prior cardiac surgery\/infection\/ACS).<\/span><\/div>\n<div><span> \u2022 Median follow-up: 3.1 years; median age: 72\u201375 years.<\/span><\/div>\n<div><span> 3. Findings \u2013 30-Day Mortality:<\/span><\/div>\n<div><span> \u2022 Isolated SAVR: 2.3%<\/span><\/div>\n<div><span> \u2022 SAVR + CABG: 3.6%<\/span><\/div>\n<div><span> \u2022 SAVR + Mitral Valve: 7.5%<\/span><\/div>\n<div><span> \u2022 SAVR + CABG + Mitral Valve: 11.7%<\/span><\/div>\n<div><span> 4. Findings \u2013 5-Year Mortality:<\/span><\/div>\n<div><span> \u2022 Isolated SAVR: 19.1%<\/span><\/div>\n<div><span> \u2022 SAVR + CABG + Mitral Valve: 49.1%<\/span><\/div>\n<div><span> \u2022 SAVR + Tricuspid Valve: notably lower at 18.1%<\/span><\/div>\n<div><span> 5. Key Insight:<\/span><\/div>\n<div><span> \u2022 Adding procedures to SAVR increases both short- and long-term mortality in elderly patients.<\/span><\/div>\n<div><span> \u2022 Tricuspid intervention was an exception, showing slightly lower 5-year mortality.<\/span><\/div>\n<div><span> 6. Comparison to PARTNER 3:<\/span><\/div>\n<div><span> \u2022 Unlike PARTNER 3 (which showed no mortality difference), this study included older, high-risk patients and multivalve interventions.<\/span><\/div>\n<div><\/div>\n<div><a href=\"https:\/\/www.jacc.org\/doi\/10.1016\/j.jacc.2025.05.021#:~:text=The%2030%2Dday%20mortality%20rate,%2B%20CABG%20%2B%20mitral%20valve%20intervention.\">https:\/\/www.jacc.org\/doi\/10.1016\/j.jacc.2025.05.021#:~:text=The%2030%2Dday%20mortality%20rate,%2B%20CABG%20%2B%20mitral%20valve%20intervention.<\/a><\/div>\n<div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>How pairing SAVR with additional heart surgeries affects mortality risk Published: July 21, 2025 Journal of the American College of Cardiology Key Scientific Points: 1. Study Objective: Evaluate outcomes of patients undergoing surgical aortic valve replacement (SAVR) with or without concomitant procedures (e.g., CABG, mitral\/tricuspid repair). 2. Methodology: \u2022 Retrospective cohort using U.S. Medicare data [&hellip;]<\/p>\n","protected":false},"author":145,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8104","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8104","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=8104"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8104\/revisions"}],"predecessor-version":[{"id":8105,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8104\/revisions\/8105"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=8104"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=8104"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=8104"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}