Research Article

Long-Term Outcomes of Bovine versus Porcine Mitral Valve Replacement: A Multicenter Analysis

Table 1

Baseline patient and disease characteristics by tissue type.

CharacteristicsOverall cohort
PericardialPorcineP value

Number of proceduresN = 801N = 483
Procedure type<0.001
 Valve464 (57.9%)230 (47.6%)
 CABG/valve337 (42.1%)253 (52.4%)
Age in years, % by group0.087
 <60 years98 (12.2%)38 (7.9%)
 60–69 years197 (24.6%)127 (26.3%)
 70–79 years376 (46.9%)243 (50.3%)
 >=80 years130 (16.2%)75 (15.5%)
 Mean71.0 (10.0)72.1 (8.7)0.043
Female sex, %385 (48.1%)251 (52.0%)0.18
Body surface area, %0.57
 <1.70161 (20.1%)109 (22.6%)
 1.70–1.99356 (44.4%)207 (42.9%)
 >=2.00284 (35.5%)167 (34.6%)
 Mean1.9 (0.3)1.9 (0.3)0.29
Preoperative WBC >12,000 μ/L, %72 (9.0%)39 (8.1%)0.57
Prior PCI, %96 (12.0%)55 (11.4%)0.75
Prior CABG, %41 (5.1%)25 (5.2%)0.96
Comorbid disease, %
 Vascular disease164 (20.5%)117 (24.2%)0.12
 Diabetes155 (19.4%)140 (29.0%)<0.001
 COPD163 (20.3%)129 (26.7%)0.008
 Atrial fibrillation342 (42.7%)197 (40.8%)0.5
 Congestive heart failure446 (55.7%)293 (60.7%)0.08
 Dialysis or creatinine ≥2 mg/dL34 (4.2%)34 (7.0%)0.03
 NYHA class 4137 (17.1%)103 (21.3%)0.06
 Prior stroke46 (5.7%)40 (8.3%)0.078
Ejection fraction, %0.67
 <4074 (9.2%)47 (9.7%)
 40–4992 (11.5%)65 (13.5%)
 50–59154 (19.2%)101 (20.9%)
 ≥60380 (47.4%)213 (44.1%)
 Missing101 (12.6%)57 (11.8%)
 Mean55.9 (13.0)55.5 (12.8)0.68
Coronary artery disease, %523 (65.3%)370 (76.6%)<0.001
 Left main stenosis ≥50%63 (7.9%)52 (10.8%)0.078
Number of diseased vessels<0.001
 178 (9.7%)66 (13.7%)
 2509 (63.5%)257 (53.2%)
 3100 (12.5%)61 (12.6%)
 Valve only114 (14.2%)99 (20.5%)
 Myocardial infarction within 7 days60 (7.5%)33 (6.8%)0.66
Valve disease, %0.94
 Stenosis or regurgitation616 (79.0%)376 (79.2%)
 Stenosis and regurgitation164 (21.0%)99 (20.8%)
Priority at surgery, %0.014
 Elective493 (61.5%)260 (53.8%)
 Urgent267 (33.3%)200 (41.4%)
 Emergency41 (5.1%)23 (4.8%)

COPD, chronic obstructive pulmonary disease; WBC, white blood cells; NYHA, New York Heart Association.