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Outcomes Amongst Obesity Class I, II, and III Patients Undergoing Minimally Invasive Aortic Valve Replacement
  • +6
  • Marlena Sabatino,
  • NaYoung Yang,
  • Fady Soliman,
  • Joshua Chao,
  • ALEXIS OKOH,
  • Hirohisa Ikegami,
  • Anthony Lemaire,
  • Mark Russo,
  • Leonard Lee
Marlena Sabatino
Rutgers Robert Wood Johnson Medical School

Corresponding Author:marlena.sabatino@gmail.com

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NaYoung Yang
Rutgers Robert Wood Johnson Medical School
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Fady Soliman
Rutgers Robert Wood Johnson Medical School
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Joshua Chao
Rutgers Robert Wood Johnson Medical School
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ALEXIS OKOH
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Hirohisa Ikegami
Robert Wood Johnson Foundation
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Anthony Lemaire
Rutgers Robert Wood Johnson Medical School New Brunswick
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Mark Russo
Rutgers Robert Wood Johnson Medical School
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Leonard Lee
Rutgers-Robert Wood Johnson Medical School
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Abstract

Background: Minimally invasive heart valve surgery has previously been shown to be safe and feasible in obese patients. Within this population, we investigated the effect of obesity class on the patient outcomes of minimally invasive aortic valve replacement (mini-AVR). Methods: A single center retrospective cohort study of consecutive patients with obese body mass indices (BMIs) who underwent mini-AVR between 2012 and 2018. Patients were stratified into 3 groups according to Centers for Disease Control and Prevention adult obesity classifications: Class I (BMI 30.0 to < 35.0), Class II (BMI 35.0 to < 40.0), and Class III (BMI ≥ 40.0). The primary outcomes were postoperative length of stay (LOS), 30-day mortality within, and cost. Results: Amongst 182 obese patients who underwent mini-AVR, LOS (Class I 4 [3-6] vs. Class II 4 [3-6] vs. Class III 5 [4-6] days; p=0.098) and costs (Class I $24,487 [$20,199-$27.480] vs. Class II $22,921 [$20,433-$27,740] vs. Class III $23,886 [$20,063-$33,800] USD; p=0.860) did not differ between obesity class cohorts. Postoperative 30-day mortality (Class I 2.83% [n=2] vs. Class II 0% [n=0] vs. Class III 0% [n=0]; p=0.763) was limited by an insufficient sample size relative to a low event rate but did not differ between patient cohorts. Conclusions: Mini-AVR is safe and feasible to perform for obese patients regardless of their obesity class. Patients with obesity should be afforded the option of minimally invasive aortic valve surgery regardless of their obesity class.
12 Sep 2021Submitted to Journal of Cardiac Surgery
13 Sep 2021Submission Checks Completed
13 Sep 2021Assigned to Editor
13 Sep 2021Reviewer(s) Assigned
13 Sep 2021Review(s) Completed, Editorial Evaluation Pending
13 Sep 2021Editorial Decision: Revise Minor
22 Sep 20211st Revision Received
23 Sep 2021Submission Checks Completed
23 Sep 2021Assigned to Editor
23 Sep 2021Reviewer(s) Assigned
23 Sep 2021Review(s) Completed, Editorial Evaluation Pending
23 Sep 2021Editorial Decision: Accept