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Outcomes evaluation in cardiac surgery has a long tradition through national registries. However, none of them allow detailed pathology driven analysis and long term follow-up is often lacking. The Heart Valve Society (HVS) aortic valve repair research network started the Aortic Valve Insufficiency and ascending aorta Aneurysm InternATiOnal Registry the AVIATOR initiative is aimed to improve outcomes for patients with aortic valve regurgitation and dystrophic aorta, to enhance uniform scientific reporting, to optimize multidisciplinary patient care and to assess quality of care from medical management to surgical outcomes.
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Inclusion Criteria

The AVIATOR registry includes all patients with AR and/or ascending aorta aneurysms.

Patients with AR > grade 1 (mild AR) inclusive congenital mixed aortic valve disease and/or an aortic diameter = 40 mm are eligible for the medical registry. Patients who are operated on because of AR (including congenital mixed aortic valve disease) and/or aortic aneurysm (root or tubular ascending aorta) are eligible for the surgical database. Patient characteristics are leading and the performed intervention is secondary. This means that both patients who undergo AV repair including valve sparing root replacement as well as AV replacement including composite valve graft replacement are eligible. Centers without an AV repair program are encouraged to join the AVIATOR initiative as well. It is important to enroll all consecutive patients within a center, and not only the successful repairs. Isolated AV stenosis is excluded. Operative correction of an aneurysm of the ascending aorta can be either root and/or supra coronary aorta replacement. Patients operated for aortic dissection (Type A) are eligible as well.

Inform Consent

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Download French version
Download Dutch version

Data Collection

The adult surgical database is open for patient enrollment since January 2013. Collected data includes: baseline patient characteristics, procedural information, in-hospital outcomes, longitudinal measurement of echo parameters and (valve related) events during at least yearly follow-up.

  • Patients characteristics
    • Patient demography
    • Cormobidity (Euroscore)
    • Diagnosis of valve and/or ascending aorta disease
    • Aorta phenotype
    • Pre-operative medical imaging
  • Procedural data
    • Peri-procedural data
    • Per operative echographic data
    • Echographic data at discharge
    • complications at discharge
  • Follow up data (every year after surgery)
    • Clinical data
    • Treatments
    • Echographic data
    • Complications since last follow-up

Download paper CRF
Download data dictionary

Data entry

Data entry is possible directly online (patient by patient), but if a center has a good local database, it is possible to use the upload facility.
Download online (patient by patient) data entry manual
Download data-batch upload manual