Outcomes Stratified for Two Epochs
Surgical strategies considerably
changed since 2015, the application of leaflets augmentation increased
the rate of TVr, and therefore we stratified patients into two epochs:
1999–2014 and 2015–2019 (Table 4). From 2015 to 2019, 87.1% of
patients underwent e-RITS and 62.4% underwent TVr. Before 2015, 69.4%
of patients underwent surgery with NYHA ≥ III, while the ratio decreased
to 45% in the recent 5 years (p = 0.002), and only 12.5%
underwent repair. In-hospital
mortality also decreased from 16.7% to 6.9% (p = 0.044) and
fewer patients underwent reoperation due to chest bleeding or poor wound
healing (p = 0.011 and p = 0.021, respectively)