Early outcome of aortic valve replacement with mechanical prosthesis in patients with aortic stenosis. Is patient-prosthesis mismatch a significant clinical problem?
Journal Title: Archives of Medical Science - Year 2007, Vol 3, Issue 1
Abstract
Introduction: Prevalence of aortic valve disease increases with a population’s aging. Aortic valve replacement (AVR) is one of the most frequently performed procedures in cardiac surgery centres. Patient-prosthesis mismatch (PPM) is believed by some authors to be a significant clinical problem. The aim of the present study was to assess early results of AVR in patients with isolated aortic valve stenosis, with special regard to haemodynamic parameters and PPM. Material and methods: Forty-eight consecutive patients (28 men and 20 women) aged mean 59.3±12.1 years, who underwent AVR with a mechanical prosthesis, in the Department of Cardiac Surgery, Medical University of Lodz, Poland in 2003, were retrospectively analyzed. Results: The in-hospital postoperative mortality in the study group was 4.2%. The most common postoperative complications were arrhythmia and low cardiac output syndrome (LCOS), which occurred in 5 patients (10.4%) each. At discharge from hospital no patient met the criterion of PPM (effective orifice area index – EOAI of 0.85 cm2/m2 or lower). Significant improvement was observed in mean New York Heart Association (NYHA) class and mean maximal valvular gradient (respectively 2.3±0.5 vs. 1.4±0.7 and 87.1±19.1mmHg vs. 26.4±6.5 mmHg, p
Authors and Affiliations
Sławomir Jander, Mirosław Bitner, Bogdan Jegier, Stanisław Ostrowski, Ryszard Jaszewski
Keywords
Related Articles
- EP ID EP102029
- DOI -
- Views 143
- Downloads 0
Strength of contraction in isolated bladder strips of rats: effect of chemotherapeutic agents mitomycin C and farmorubicin
Objectives: The smooth muscle is an important component of the lower urinary tract, as normal voiding depends on its ability to respond appropriately to stimulation. Impairment of the contractile capacity of the vesical...
Occurrence of large-scale mitochondrial DNA deletions in human colorectal cancer
Challenges in trials evaluating statins in heart failure
Association of metabolic syndrome with atherothrombotic blood phenotypes in Asian Indian families with premature coronary artery disease
Ring annuloplasty and successful mitral valve repair in a staphylococcal endocarditis case with bilobular saccular mycotic aneurysm at cerebral artery and frontal region infarction. Secondary to septic emboli