Mortality
Two patients died in the hospital, for an overall 0.7% operative mortality. A 68-year-old woman submitted to mitral and aortic valve repair, who had a normal preoperative coronary angiogram, died of untreatable coronary spasm (angiographically documented), causing perioperative myocardial infarction in the first postoperative day. Another patient died 1 week postoperatively of right ventricular failure and subsequent multiple organ failure. Both patients had a competent nonstenotic mitral valve at echocardiography. There were 5 late deaths: 2 were noncardiac (cancer) in origin, and 3 were cardiac (2 sudden deaths and 1 for documented acute myocardial infarction). The actuarial overall survival at 5 years was 94.4% ± 2.59% (Figure 1).