Robert McKenna, Roderick S Hooker, Robert Christian
Family Physicians as Proceduralists for Medicare Recipients
Annals of family medicine
current national registries lacking detailed pathologydriven analysis longterm patients outcomes heart valve society hvs aortic valve av repair research network started aortic valve insufficiency ascending aorta aneurysm international registry aviator evaluate longterm patient outcomes av repair replacement purpose current report describe aviator initiative report descriptive manner patients included av repair research network includes surgeons cardiologists scientists established online database compliant guidelines reporting valverelated events prospective inclusion started january 2013 adult patients 18 years older operated 1995 2017 complete procedural specification type repairreplacement selected descriptive analysis currently 58 centers 17 countries include 4896 patients 89 av repair n 4379 versus 11 av replacement n 517 av repair either isolated 28 associated tubularpartial root replacement 22 valvesparing root replacement 49 inhospital mortality 05 17 12 respectively av replacement either isolated 24 associated tubularpartial root replacement 17 root replacement 59 inhospital mortality 1 26 20 respectively multicenter surgical aviator registry applying uniform definitions provide solid evidence base evaluate place repair versus replacement basis longterm patient outcomes obtaining data completeness adequate representation surgery types remain challenging toward near future aviatormedical start study natural history aviatorkids focus pediatric disease