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Cardiac surgery
Standards for heart valve surgery in a ‘Heart Valve Centre of Excellence’
  1. John Chambers1,
  2. Simon Ray2,
  3. Bernard Prendergast2,
  4. Tim Graham3,
  5. Brian Campbell4,
  6. Donna Greenhalgh5,
  7. Mario Petrou6,
  8. Jeremy Tinkler7,
  9. Christa Gohlke-Bärwolf8,
  10. Carlos A Mestres9,
  11. Raphael Rosenhek10,
  12. Philippe Pibarot11,
  13. Catherine Otto12 and
  14. Thoralf Sundt13
  1. 1British Heart Valve Society, UK
  2. 2British Cardiovascular Society, UK
  3. 3Society of Cardiothoracic Surgeons of Great Britain and Ireland, UK
  4. 4Society for Cardiological Science and Technology, UK
  5. 5Department of Cardiac Anaesthesia, Wythenshawe Hospital, Manchester, UK
  6. 6Cardiac Surgery, John Radcliffe, Oxford, UK
  7. 7MedPass International, Paris, France
  8. 8Herz-Zentrum Bad Krozingen, Germany
  9. 9Department of Cardiovascular Surgery, Hospital Clinico, University of Barcelona, Spain
  10. 10University of Vienna, Austria
  11. 11Department of Medicine, Laval University, Canada
  12. 12Division of Cardiology, University of Washington, Seattle, Washington, USA
  13. 13Massachusetts General Hospital, Boston, USA
  1. Correspondence to Professor John Chambers; john.chambers{at}gstt.nhs.uk

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.

  • QUALITY OF CARE AND OUTCOMES
  • VALVULAR DISEASE

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/openhrt-2014-000216

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