Single centre experience of double valve replacement using mechanical valves
Introduction: Cardiac valvular disease in India is most commonly caused by Rheumatic aetiology, many of which end up getting operated for the same. There is still existing controversy about the selection of ideal valves that can be used for replacement. Objective: Objective of this study was to...
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| Format: | Article |
| Language: | English |
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Prathima Institute of Medical Sciences
2020-12-01
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| Series: | Perspectives In Medical Research |
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| Online Access: | https://www.pimr.org.in/2020-vol8-issue-3/originalarticle14_v1.pdf |
| _version_ | 1797462489414238208 |
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| author | Saurabh KS1 , Popli K2 , Chandrakumar SVPL3 , Guroo SA4 , Gupta A5 |
| author_facet | Saurabh KS1 , Popli K2 , Chandrakumar SVPL3 , Guroo SA4 , Gupta A5 |
| author_sort | Saurabh KS1 , Popli K2 , Chandrakumar SVPL3 , Guroo SA4 , Gupta A5 |
| collection | DOAJ |
| description | Introduction: Cardiac valvular disease in India is most
commonly caused by Rheumatic aetiology, many of which end
up getting operated for the same. There is still existing
controversy about the selection of ideal valves that can be used
for replacement.
Objective: Objective of this study was to retrospectively
analyse the variable which can be easily assessed in the patients
undergoing DVR (Double Valve replacement) using mechanical
valves for its outcomes.
Methods: All the patients who underwent DVR + Tricuspid
valve repair/annuloplasty between October 2017 to January
2019, were identified and retrospectively their data was
analysed.
Results: 72 patients who underwent the procedure. Most
common aetiology was Rheumatic. 69.4% were in NYHA (New
York Heart Association) class II, 33.33% had chronic atrial
fibrillation. 45.6% had associated tricuspid valve disease, and
no chordae was preserved in 27.7%. Overall mortality was 5.5%
Conclusion: The study revealed a favourable survival outcome
after DVR surgery. The operative mortality in patients
undergoing DVR depends on intra operative factors like total
surgical time, bypass time and aortic cross clamped time and
has improved remarkably over time, with the improvisation of
extracorporeal circulation methods, myocardial protection
techniques and postoperative management |
| first_indexed | 2024-03-09T17:37:18Z |
| format | Article |
| id | doaj.art-f658302188c64885a225dfd79e0bac4e |
| institution | Directory Open Access Journal |
| issn | 2348-1447 2348-229X |
| language | English |
| last_indexed | 2024-03-09T17:37:18Z |
| publishDate | 2020-12-01 |
| publisher | Prathima Institute of Medical Sciences |
| record_format | Article |
| series | Perspectives In Medical Research |
| spelling | doaj.art-f658302188c64885a225dfd79e0bac4e2023-11-24T11:52:41ZengPrathima Institute of Medical SciencesPerspectives In Medical Research2348-14472348-229X2020-12-0183748010.47799/pimr.0803.16Single centre experience of double valve replacement using mechanical valvesSaurabh KS1 , Popli K2 , Chandrakumar SVPL3 , Guroo SA4 , Gupta A505HOD, CTVS, VMMC & SJH *Corresponding Author – Popli K ,Department of Cardiothoracic and Vascular Surgery,VMMC and Safdarjung Hospital, New Delhi.Introduction: Cardiac valvular disease in India is most commonly caused by Rheumatic aetiology, many of which end up getting operated for the same. There is still existing controversy about the selection of ideal valves that can be used for replacement. Objective: Objective of this study was to retrospectively analyse the variable which can be easily assessed in the patients undergoing DVR (Double Valve replacement) using mechanical valves for its outcomes. Methods: All the patients who underwent DVR + Tricuspid valve repair/annuloplasty between October 2017 to January 2019, were identified and retrospectively their data was analysed. Results: 72 patients who underwent the procedure. Most common aetiology was Rheumatic. 69.4% were in NYHA (New York Heart Association) class II, 33.33% had chronic atrial fibrillation. 45.6% had associated tricuspid valve disease, and no chordae was preserved in 27.7%. Overall mortality was 5.5% Conclusion: The study revealed a favourable survival outcome after DVR surgery. The operative mortality in patients undergoing DVR depends on intra operative factors like total surgical time, bypass time and aortic cross clamped time and has improved remarkably over time, with the improvisation of extracorporeal circulation methods, myocardial protection techniques and postoperative managementhttps://www.pimr.org.in/2020-vol8-issue-3/originalarticle14_v1.pdfdouble valve replacementtricuspid valve repairpatient prosthesis mismatch |
| spellingShingle | Saurabh KS1 , Popli K2 , Chandrakumar SVPL3 , Guroo SA4 , Gupta A5 Single centre experience of double valve replacement using mechanical valves Perspectives In Medical Research double valve replacement tricuspid valve repair patient prosthesis mismatch |
| title | Single centre experience of double valve replacement using mechanical valves |
| title_full | Single centre experience of double valve replacement using mechanical valves |
| title_fullStr | Single centre experience of double valve replacement using mechanical valves |
| title_full_unstemmed | Single centre experience of double valve replacement using mechanical valves |
| title_short | Single centre experience of double valve replacement using mechanical valves |
| title_sort | single centre experience of double valve replacement using mechanical valves |
| topic | double valve replacement tricuspid valve repair patient prosthesis mismatch |
| url | https://www.pimr.org.in/2020-vol8-issue-3/originalarticle14_v1.pdf |
| work_keys_str_mv | AT saurabhks1poplik2chandrakumarsvpl3guroosa4guptaa5 singlecentreexperienceofdoublevalvereplacementusingmechanicalvalves |