Table 1

Comparison of outcomes between the Ross operation, mechAVR and biological AVR: results from the meta-analysis

CohortsRossmechAVRbiological AVRP value
Early mortality (%)460.24 (0.17 to 0.34)0.3 (0.19 to 0.45)0.28 (0.16 to 0.48)0.75
Total mortality (%/year)470.54 (0.45 to 0.64)1.38 (1.11 to 1.74)2.54 (1.8 to 3.59)<0.001
AoV reoperation (%/year)470.54 (0.42 to 0.69)0.37 (0.27 to 0.5)1.28 (0.88 to 1.85)<0.001
Bleeding (%/year)440.11 (0.06 to 0.20)0.69 (0.5 to 0.96)0.31 (0.14 to 0.69)<0.001
Thromboembolic events (%/year)440.26 (0.19 to 0.37)0.86 (0.62 to 1.18)0.57 (0.39 to 0.84)<0.001
AoV reoperations for IE (%/year)440.16 (0.12 to 0.2)0.17 (0.1 to 0.27)0.26 (0.18 to 0.39)0.08
Conservatively treated IE (%/year)460.21 (0.15 to 0.3)0.27 (0.18 to 0.42)0.29 (0.1 to 0.87)0.64
Total IE (%/year)390.34 (0.27 to 0.42)0.44 (0.3 to 0.64)0.63 (0.32 to 1.22)0.14
RVOT reinterventions (%/year)220.43 (0.34 to 0.54)
  • Data are from random-effects models. Values in brackets are 95% CI.

  • AoV, aortic valve;IE, infective endocarditis;RVOT, right ventricular outflow tract; biological AVR, tissue aortic valve replacement;mechAVR, mechanical aortic valve replacement.