The Spanish Valve Repair Registry 2016-2017

Introduction and objectives: The Working Group on Valve Repair of the Spanish Society of Thoracic and Cardiovascular Surgery presents the annual report on reconstructive valve surgery of the mitral, aortic and tricuspid valves performed in Spain during 2016-2017. Methods: The data was gathered using an online form, in a retrospective, voluntary, anonymous and non-audited way. Different parameters regarding etiology, type of surgery, mortality and risk scores were collected. Results: Data was collected from 27 centers with 6.751 and 7.634 recorded interventions in 2017 and 2017, respectively. Mitral repair surgery accounts for 35% and 30% of all mitral valve operated. The percentage of aortic valve sparing interventions was 4,5%, similar to previous years. Tricuspid surgery has increased 26% in 2017 in relation to 2106, confirming a stable repair rate of 88%, mainly with a wide use of prosthetic rings. Regarding mini-invasive mitral surgery, a decrease in centers and number of surgeries is observed (14 centers reporting 109 surgeries in 2106 to 9 centers with 83 surgeries in 2017). Mini-invasive aortic surgery means a 15% in 2016 and 13% in 2017. Conclusions: It has been observed a decrease in the number of participating centers and therefore of the number of surgeries. Mitral valve repair is a established option in our country, although with very low repair rates. Tricuspid valve repair surgery has stabilized in the last years. Mini-invasive mitral surgery has decreased while aortic mini-invasive has increased. (C) 2019 Published by Elsevier Espana, S.L.U. on behalf of Sociedad Espanola de Cirugia Toracica-Cardiovascular.