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Open Heart. 2015 Jul 7;2(1):e000216. doi: 10.1136/openhrt-2014-000216. eCollection 2015.

Standards for heart valve surgery in a 'Heart Valve Centre of Excellence'.

Author information

1
British Heart Valve Society, UK.
2
British Cardiovascular Society, UK.
3
Society of Cardiothoracic Surgeons of Great Britain and Ireland , UK.
4
Society for Cardiological Science and Technology , UK.
5
Department of Cardiac Anaesthesia , Wythenshawe Hospital , Manchester , UK.
6
Cardiac Surgery , John Radcliffe , Oxford , UK.
7
MedPass International , Paris , France.
8
Herz-Zentrum Bad Krozingen , Germany.
9
Department of Cardiovascular Surgery , Hospital Clinico, University of Barcelona , Spain.
10
University of Vienna , Austria.
11
Department of Medicine , Laval University , Canada.
12
Division of Cardiology , University of Washington , Seattle, Washington , USA.
13
Massachusetts General Hospital , Boston , USA.

Abstract

Surgical centres of excellence should include multidisciplinary teams with specialist expertise in imaging, clinical assessment and surgery for patients with heart valve disease. There should be structured training programmes for the staff involved in the periprocedural care of the patient and these should be overseen by national or international professional societies. Good results are usually associated with high individual and centre volumes, but this relationship is complex. Results of surgery should be published by centre and should include rates of residual regurgitation for mitral repairs and reoperation rates matched to the preoperative pathology and risk.

KEYWORDS:

QUALITY OF CARE AND OUTCOMES; VALVULAR DISEASE

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