Early And Long Term Outcomes Of Aortic Valve Surgery Combined Or Not With Cabg Surgery
Journal Title: International Journal of Clinical Therapeutics and Diagnosis (IJCTD) - Year 2014, Vol 2, Issue 1
Abstract
Objective: The number of patients doing aortic valve surgery with or without CABG (Coronary Artery Bypass Graft) is increasing continuously in our country. The goal of this study is to evaluate the early and long-term results of aortic valve surgery alone or combined with CABG surgery. Methods: This is a retrospective and prospective study. We included the patients underwent aortic valve surgery (replacement or another procedure) with or without CABG from January 2007 to January 2013 . The population of 330 patients is divided into two groups: Group I included 81 patients combined surgery; Group II included 249 patients with isolated aortic valve surgery. In the early results we referred hospital mortality and perioperative complications. The follow-up time is from 2 to 73 months for 303 cases that were discharged from hospital. The long-term results were evaluated in terms of mean survival ,quality of life and prosthetic-related complications. Results: The hospital mortality was 3.6 % in general. The hospital mortality: group I is 4. 9% and group II is 3. 2 %. The difference isnot statistically significant. Low cardiac output, conduction disturbances, stroke, pulmonary complications, renal complications, bleeding, atrial fibrillation, wound infections, ventricular arrhythmias are respectively14. 8% vs. 9. 6%, 3. 7% vs. 6. 9%, 3. 7% vs. 0. 4%, 9. 9 % vs. 2. 8%, 3. 7% vs. 1. 2%, 6. 3% vs. 2.0%, 14. 8 % vs. 19.7%, 11. 3% vs. 1. 6 %, 6. 2% vs. 5. 6 % respectively for the group I and II. The differences were statistically significant only for low cardiac output, stroke, pulmonary and wound complications. The long-term outcomes: overall mortality 3. 9%, bleeding 1. 9%, prosthetic endocarditis and thrombosis 1.3%. Endocarditis and thrombosis are more frequent in group I. During the follow-up survival was 93% and 96% respectively for group I and II, with no significant difference between groups. Conclusions: Simultaneous coronary artery by-pass with aortic valve increases slightly the operative mortality and perioperative complications.CABG surgery does not influence long–term results of aortic valve surgery
Authors and Affiliations
Gentian Vyshka
Keywords
Related Articles
- EP ID EP198295
- DOI 10.19070/2332-2926- 140007
- Views 130
- Downloads 0
A Study on Parental Attitude and Needs of the Parents Having Children with Intellectual Disability
The present study aimed to assess and understand the attitude and needs of the parents having children with intellectual disability. Thirty parents (both father & mother) were including in the sample from general service...
Early Results of Ascending Aorta and Aortic Arch Surgery in Albania
Background: Treatment of aneurysms of the ascending aorta, arch aorta, or both are surgically challenging and has traditionally carried a high hospital mortality rate. The use of refined operative techniques has resulted...
Medico-Legal Evaluation of Sudden Cardiac Deaths in Albania, 2014-2015
Sudden cardiac death is an occurrence of extreme severity, with medical, legal, social and public health implications. We have studied the forensic registers with regard to sudden deaths due to heart disease during the y...
Early And Long Term Outcomes Of Aortic Valve Surgery Combined Or Not With Cabg Surgery
Objective: The number of patients doing aortic valve surgery with or without CABG (Coronary Artery Bypass Graft) is increasing continuously in our country. The goal of this study is to evaluate the early and long-term re...
Global Autism: Autism, Autism Etiology, Perceptions, Epistemology, Prevalence and Action
Autism is a Neuro-Developmental Disorder affecting socialization and communication with stereotype behaviors. The research Scientists all over world found that genetic and environmental factors are causes of Autism Spect...