D. Choi
Auckland City Hospital
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Featured researches published by D. Choi.
Heart Lung and Circulation | 2017
Tom Kai Ming Wang; D. Choi; Tharumenthiran Ramanathan; Peter Ruygrok
BACKGROUND With the introduction of transcatheter aortic valve implantation (TAVI), there is increasing interest in evaluating outcomes of aortic valve replacement (AVR) with or without (+/-) concurrent coronary artery bypass grafting (CABG) particularly in high-risk patients. We reviewed the characteristics and outcomes of octogenarians undergoing isolated AVR and AVR+CABG. METHODS All patients 80 years of age or older undergoing AVR+/-CABG at Auckland City Hospital during 2005-2012 were included, and their characteristics and outcomes analysed. RESULTS There were 93 and 104 octogenarians respectively undergoing isolated AVR and AVR+CABG with mean follow-up of 4.4+/-2.2 years and 4.1+/-2.3 years. Significant differences in baseline and operative characteristics contributed to higher EuroSCORE II (5.9 vs 6.4%, P=0.016) and STS Score (4.9 vs 6.9%, P<0.001) for AVR+CABG patients. They also had a significantly higher rate of 30-day mortality (0.0% vs 6.7%, P=0.015) and prolonged ventilation>24hours (10.7% vs 23.1%, P<0.001), but not composite morbidity (P=0.248) or stroke (P=0.709). Long-term survival was similar at one, three and five years; 94.6%, 82.6% and 73.0% for AVR and 91.3%, 86.1% and 67.6% for AVR+CABG. Independent predictors of 30-day mortality included reduced creatinine clearance and history of myocardial infarction. CONCLUSION AVR+CABG had significantly higher but acceptable 30-day mortality in octogenarians than AVR. We have identified prognostic factors important in the decision-making of treatment modality, where age alone should not preclude surgery.
Heart Lung and Circulation | 2014
Tom Kai Ming Wang; D. Choi; T. Wilcox; Harvey D. White; Tharumenthiran Ramanathan
Heart Lung and Circulation | 2017
Tom Kai Ming Wang; D. Choi; Yi-Wen (Becky) Liao; Tharumenthiran Ramanathan; Peter Ruygrok
Heart Lung and Circulation | 2017
Tom Kai Ming Wang; Yi-Wen (Becky) Liao; D. Choi; Tharumenthiran Ramanathan
Heart Lung and Circulation | 2016
Tom Kai Ming Wang; D. Choi; Tharumenthiran Ramanathan
Heart Lung and Circulation | 2015
Tom Kai Ming Wang; Tharumenthiran Ramanathan; D. Choi; Peter Ruygrok
Heart Lung and Circulation | 2015
Tom Kai Ming Wang; Ralph Stewart; D. Choi; S. Harrmos; G. Gamble; Tharumenthiran Ramanathan; Harvey D. White
Heart Lung and Circulation | 2015
Tom Kai Ming Wang; Ralph Stewart; D. Choi; S. Harrmos; G. Gamble; Tharumenthiran Ramanathan; Harvey D. White
Heart Lung and Circulation | 2015
Tom Kai Ming Wang; D. Choi; G. Gamble; Tharumenthiran Ramanathan; Peter Ruygrok
Heart Lung and Circulation | 2015
Tom Kai Ming Wang; D. Choi; Tharumenthiran Ramanathan; Peter Ruygrok