{"id":"https://openalex.org/W1578744729","doi":"https://doi.org/10.1161/circulationaha.104.526046","title":"Aortic Valve Replacement and Concomitant Mitral Valve Regurgitation in the Elderly: Impact on Survival and Functional Outcome","display_name":"Aortic Valve Replacement and Concomitant Mitral Valve Regurgitation in the Elderly: Impact on Survival and Functional Outcome","publication_year":2005,"publication_date":"2005-08-30","ids":{"openalex":"https://openalex.org/W1578744729","doi":"https://doi.org/10.1161/circulationaha.104.526046","mag":"1578744729","pmid":"https://pubmed.ncbi.nlm.nih.gov/16159860"},"language":"en","primary_location":{"id":"doi:10.1161/circulationaha.104.526046","doi":"https://doi.org/10.1161/circulationaha.104.526046","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circulationaha.104.526046","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W1578744729"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112888970","display_name":"Christopher J. Barreiro","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]},{"id":"https://openalex.org/I4210150714","display_name":"Johns Hopkins Hospital","ror":"https://ror.org/05cb1k848","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher J. Barreiro","raw_affiliation_strings":["From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","Christopher J. Barreiro From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210150714"]},{"raw_affiliation_string":"Christopher J. Barreiro From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101614274","display_name":"Nishant D. Patel","orcid":"https://orcid.org/0000-0002-2573-7469","observed_orcids":["https://orcid.org/0000-0002-2573-7469"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]},{"id":"https://openalex.org/I4210150714","display_name":"Johns Hopkins Hospital","ror":"https://ror.org/05cb1k848","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nishant D. Patel","raw_affiliation_strings":["From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","Nishant D. Patel From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210150714"]},{"raw_affiliation_string":"Nishant D. Patel From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033710116","display_name":"Torin P. Fitton","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]},{"id":"https://openalex.org/I4210150714","display_name":"Johns Hopkins Hospital","ror":"https://ror.org/05cb1k848","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Torin P. Fitton","raw_affiliation_strings":["From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","Torin P. Fitton From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210150714"]},{"raw_affiliation_string":"Torin P. Fitton From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035628161","display_name":"Jason A. Williams","orcid":"https://orcid.org/0000-0002-3417-440X","observed_orcids":["https://orcid.org/0000-0002-3417-440X"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I4210150714","display_name":"Johns Hopkins Hospital","ror":"https://ror.org/05cb1k848","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jason A. Williams","raw_affiliation_strings":["From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","Jason A. Williams From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210150714"]},{"raw_affiliation_string":"Jason A. Williams From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210150714"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072641083","display_name":"Pramod Bonde","orcid":"https://orcid.org/0000-0002-4274-445X","observed_orcids":["https://orcid.org/0000-0002-4274-445X"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]},{"id":"https://openalex.org/I4210150714","display_name":"Johns Hopkins Hospital","ror":"https://ror.org/05cb1k848","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Pramod N. Bonde","raw_affiliation_strings":["From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","Pramod N. Bonde From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210150714"]},{"raw_affiliation_string":"Pramod N. Bonde From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101397657","display_name":"Vincent Chan","orcid":"https://orcid.org/0000-0002-2407-9177","observed_orcids":["https://orcid.org/0000-0002-2407-9177"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I4210150714","display_name":"Johns Hopkins Hospital","ror":"https://ror.org/05cb1k848","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vincent Chan","raw_affiliation_strings":["From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","Vincent Chan From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210150714"]},{"raw_affiliation_string":"Vincent Chan From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210150714"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006858111","display_name":"Diane E. Alejo","orcid":"https://orcid.org/0000-0003-2751-9577","observed_orcids":["https://orcid.org/0000-0003-2751-9577"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]},{"id":"https://openalex.org/I4210150714","display_name":"Johns Hopkins Hospital","ror":"https://ror.org/05cb1k848","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Diane E. Alejo","raw_affiliation_strings":["From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","Diane E. Alejo From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210150714"]},{"raw_affiliation_string":"Diane E. Alejo From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109938314","display_name":"Vincent L. Gott","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]},{"id":"https://openalex.org/I4210150714","display_name":"Johns Hopkins Hospital","ror":"https://ror.org/05cb1k848","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vincent L. Gott","raw_affiliation_strings":["From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","Vincent L. Gott From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210150714"]},{"raw_affiliation_string":"Vincent L. Gott From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5030261399","display_name":"William A. Baumgartner","orcid":"https://orcid.org/0000-0001-5598-7285","observed_orcids":["https://orcid.org/0000-0001-5598-7285","https://orcid.org/0000-0001-6717-5313"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]},{"id":"https://openalex.org/I4210150714","display_name":"Johns Hopkins Hospital","ror":"https://ror.org/05cb1k848","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William A. Baumgartner","raw_affiliation_strings":["From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","William A. Baumgartner From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210150714"]},{"raw_affiliation_string":"William A. Baumgartner From the Division of Cardiac Surgery, The Johns Hopkins Medical Institution, Baltimore, Md","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436","https://openalex.org/I4210150714"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.505,"has_fulltext":false,"cited_by_count":133,"citation_normalized_percentile":{"value":0.8331559,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"112","issue":"9_supplement","first_page":"I443","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11055","display_name":"Cardiac and Coronary Surgery Techniques","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/aortic-valve-replacement","display_name":"aortic valve replacement","score":0.9539999961853027},{"id":"https://openalex.org/keywords/mitral-regurgitation","display_name":"mitral regurgitation","score":0.9679999947547913},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.9779999852180481},{"id":"https://openalex.org/keywords/long-term-survival","display_name":"long-term survival","score":0.9169999957084656},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.7699999809265137},{"id":"https://openalex.org/keywords/concomitant-mitral-valve-surgery","display_name":"concomitant mitral valve surgery","score":0.925000011920929},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.531000018119812},{"id":"https://openalex.org/keywords/congestive-heart-failure","display_name":"congestive heart failure","score":0.8019999861717224},{"id":"https://openalex.org/keywords/short-form-12","display_name":"Short Form-12","score":0.7459999918937683}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9627352356910706},{"id":"https://openalex.org/C2993373945","wikidata":"https://www.wikidata.org/wiki/Q268292","display_name":"Mitral regurgitation","level":2,"score":0.6886584162712097},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6401026248931885},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.6155925989151001},{"id":"https://openalex.org/C2779384505","wikidata":"https://www.wikidata.org/wiki/Q17007513","display_name":"Concomitant","level":2,"score":0.5748518705368042},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.5608991384506226},{"id":"https://openalex.org/C144301174","wikidata":"https://www.wikidata.org/wiki/Q7893852","display_name":"Univariate analysis","level":3,"score":0.5451724529266357},{"id":"https://openalex.org/C2777543888","wikidata":"https://www.wikidata.org/wiki/Q369939","display_name":"Mitral valve","level":2,"score":0.4849977195262909},{"id":"https://openalex.org/C137627325","wikidata":"https://www.wikidata.org/wiki/Q156318","display_name":"Etiology","level":2,"score":0.47775593400001526},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.46270421147346497},{"id":"https://openalex.org/C78085059","wikidata":"https://www.wikidata.org/wiki/Q641303","display_name":"Ejection fraction","level":3,"score":0.4469265341758728},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.4426720440387726},{"id":"https://openalex.org/C2776570981","wikidata":"https://www.wikidata.org/wiki/Q4413093","display_name":"Aortic valve replacement","level":3,"score":0.4334830343723297},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.426969438791275},{"id":"https://openalex.org/C2780714102","wikidata":"https://www.wikidata.org/wiki/Q616071","display_name":"Aortic valve","level":2,"score":0.41628003120422363},{"id":"https://openalex.org/C2909944400","wikidata":"https://www.wikidata.org/wiki/Q268292","display_name":"Functional mitral regurgitation","level":4,"score":0.41007715463638306},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.39750394225120544},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.189321368932724},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000367","descriptor_name":"Age Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001021","descriptor_name":"Aortic Valve","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006949","descriptor_name":"Hyperlipidemias","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D008944","descriptor_name":"Mitral Valve Insufficiency","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D008944","descriptor_name":"Mitral Valve Insufficiency","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D009203","descriptor_name":"Myocardial Infarction","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D012086","descriptor_name":"Reoperation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015897","descriptor_name":"Comorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015993","descriptor_name":"Life Tables","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016019","descriptor_name":"Survival Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017052","descriptor_name":"Hospital Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017202","descriptor_name":"Myocardial Ischemia","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D017202","descriptor_name":"Myocardial Ischemia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D019918","descriptor_name":"Heart Valve Prosthesis Implantation","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1161/circulationaha.104.526046","doi":"https://doi.org/10.1161/circulationaha.104.526046","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circulationaha.104.526046","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},{"id":"pmid:16159860","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16159860","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"Comparative Study"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":16,"referenced_works":["https://openalex.org/W1414368829","https://openalex.org/W1964391853","https://openalex.org/W1966839964","https://openalex.org/W1987862827","https://openalex.org/W2000255303","https://openalex.org/W2000665764","https://openalex.org/W2030133537","https://openalex.org/W2037843608","https://openalex.org/W2040542524","https://openalex.org/W2043628680","https://openalex.org/W2054260140","https://openalex.org/W2076183676","https://openalex.org/W2092102648","https://openalex.org/W2093740410","https://openalex.org/W2109624574","https://openalex.org/W2143623373"],"related_works":["https://openalex.org/W2134638106","https://openalex.org/W2809053737","https://openalex.org/W2109624574","https://openalex.org/W4388594554","https://openalex.org/W2000665764","https://openalex.org/W1983177431","https://openalex.org/W2042280024","https://openalex.org/W1967925796","https://openalex.org/W2016199226"],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,65],"impact":[2],"of":[3,31,68,118,203,214,230,235],"mitral":[4,218,266],"regurgitation":[5],"(MR)":[6],"on":[7,35,72],"elderly":[8,41,53,258],"patients":[9,54,76,215,259,263],"(>":[10],"or":[11,210,223],"=":[12,85,93,126,133,143,159,186,195],"70":[13],"years)":[14],"undergoing":[15,260],"isolated":[16,57],"aortic":[17],"valve":[18,219,267],"replacement":[19],"(AVR)":[20],"is":[21,249],"not":[22],"clearly":[23],"defined.":[24],"This":[25],"study":[26],"investigates":[27],"the":[28,104],"long-term":[29,156,255],"effects":[30],"preoperative,":[32],"moderate":[33,88,148],"MR":[34,69,81,89,149,200,205,208,248],"survival":[36,157,162,256],"and":[37,75,113,135,166,175,180],"functional":[38,204],"outcome":[39,100],"in":[40,116,199,201,212,257],"AVR":[42,58],"patients.":[43,206],"METHODS":[44],"AND":[45],"RESULTS:":[46],"A":[47],"retrospective":[48],"review":[49],"identified":[50],"408":[51],"consecutive":[52],"who":[55],"underwent":[56],"from":[59],"January":[60],"1983":[61],"to":[62,243],"February":[63],"2004.":[64],"pathologic":[66],"etiology":[67],"was":[70,96,101,150,172],"determined":[71],"preoperative":[73],"echocardiogram,":[74],"were":[77],"stratified":[78],"into":[79],"no/mild":[80],"(Group":[82,90],"I;":[83],"n":[84,92],"338)":[86],"versus":[87,123,130,140,177,233],"II;":[91],"70).":[94],"Follow-up":[95],"95.1%":[97],"complete.":[98],"Functional":[99,226],"evaluated":[102],"using":[103],"Short":[105],"Form-12":[106],"questionnaire.":[107],"On":[108,145],"univariate":[109],"analysis,":[110,147],"Groups":[111],"I":[112,171,232],"II":[114,184,193,237],"differed":[115],"incidence":[117],"previous":[119],"myocardial":[120],"infarction":[121],"(13.9%":[122],"28.6%;":[124],"P":[125,132,142],"0.004),":[127],"hyperlipidemia":[128],"(18.7%":[129],"33.3%;":[131],"0.009),":[134],"congestive":[136],"heart":[137],"failure":[138],"(50.0%":[139],"70.0%;":[141],"0.002).":[144],"multivariate":[146],"an":[151,250],"independent":[152,251],"risk":[153,252],"factor":[154,253],"impacting":[155,254],"(P":[158,185],"0.04).":[160,187],"Actuarial":[161],"at":[163],"1,":[164],"5,":[165],"10":[167],"years":[168],"for":[169,182,191,272],"Group":[170,183,192,231,236],"93.8%,":[173],"73.3%,":[174],"40.1%":[176],"92.3%,":[178],"58.2%,":[179],"14.6%":[181],"Available":[188],"postoperative":[189],"echocardiograms":[190],"(n":[194],"37)":[196],"demonstrated":[197],"improvement":[198],"81.8%":[202],"However,":[207],"persisted":[209],"worsened":[211],"65.4%":[213],"with":[216,264],"intrinsic":[217,265],"disease":[220,268],"(myxomatous,":[221],"calcific,":[222],"ischemic":[224],"MR).":[225],"outcomes":[227],"showed":[228],"77%":[229],"78.6%":[234],"rated":[238],"their":[239],"health":[240],"as":[241],"good":[242],"excellent":[244],"post-AVR.":[245],"CONCLUSIONS:":[246],"Moderate":[247],"AVR.":[261],"Therefore,":[262],"should":[269],"be":[270],"considered":[271],"concomitant":[273],"MV":[274],"surgery.":[275]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":11},{"year":2020,"cited_by_count":8},{"year":2019,"cited_by_count":10},{"year":2018,"cited_by_count":9},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":11},{"year":2015,"cited_by_count":7},{"year":2014,"cited_by_count":11},{"year":2013,"cited_by_count":10},{"year":2012,"cited_by_count":6}],"updated_date":"2026-11-14T11:04:58.165337","created_date":"2016-06-24T00:00:00"}
