{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T16:15:34Z","timestamp":1778084134066,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,12,18]],"date-time":"2020-12-18T00:00:00Z","timestamp":1608249600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Artif Organs"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>To elaborate on early survival in patients with mitral valve replacement requiring temporary extracorporeal life support system (ECLS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We analyzed survival, significant bleeding, wound infection, and ECLS duration in 421 from 14,400 patients with postoperative need for ECLS from January 2008 to December 2017 at our institution. Finally, patients were stratified according to the type of surgery performed: the mitral group (mitral valve replacement) n\u2009=\u200963 and the control group (any cardiac surgery excluding the mitral valve) n\u2009=\u2009358. In order to adjust for preoperative patient characteristics, a propensity matching analysis was performed. Differences in in-hospital mortality were analyzed accordingly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In-hospital mortality was significantly higher in the mitral group as compared to the control group before and after adjustment ( p\u2009&lt;\u20090.001). Median duration of ECLS was 4\u2009days in both groups. Perioperative bleeding ( p\u2009&lt;\u20090.001) and wound infection ( p\u2009&lt;\u20090.001) also showed significant worse outcome parameters in the mitral group. The main causes of death in the mitral group were multiorgan failure, n\u2009=\u200948 (76%), stroke, n\u2009=\u20097 (12%), and intracardiac thrombus formation, n\u2009=\u20095 (10%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>ECLS is associated with a high in-hospital mortality rate in patients after mitral valve replacement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0391398820982621","type":"journal-article","created":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T02:28:40Z","timestamp":1608344920000},"page":"127-133","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Postcardiotomy mechanical support in patients with mitral valve prostheses is associated with poor survival"],"prefix":"10.1177","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7440-6917","authenticated-orcid":false,"given":"Clarence","family":"Pingpoh","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Freiburg, Germany"},{"name":"Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alaa","family":"Salama","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Basel, Basel, Switzerland"},{"name":"Department of Intensive Care, University Hospital Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nawras","family":"Diab","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Freiburg, Germany"},{"name":"Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximillian","family":"Kreibich","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Freiburg, Germany"},{"name":"Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8112-5566","authenticated-orcid":false,"given":"Paul","family":"Puiu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Freiburg, Germany"},{"name":"Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Czerny","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, 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