Residual AR related to severe preoperative AR increases risk of progression, need for reoperation
Volume-based experience and judicious patient selection are central to success
Cleveland Clinic series shows re-repair is feasible with excellent midterm results
But improvements didn’t correlate closely with physician-assigned NYHA class, study finds
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Intentional culture of safety extends outcome gains to both novice and late-career surgeons
Cleveland Clinic study finds expected STS risk no longer reflects current outcomes
Weakened endorsements in settings of normal EF and mild-moderate LV dysfunction may cause harm
Large series finds outcomes from staged “endo-open” strategy comparable to open repair
Findings undercut perceptions of radial artery as second conduit of choice
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