ISSN: 1859 - 2872
Mid-term results of surgical aortic valve replacement for aortic stenosis at 108 Military Central Hospital
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Abstract
Objective: To study on medium-term results after aortic valve replacement surgery for aortic stenosis (AS) at 108 Military Central Hospital. Subject and method: 67 patients with AS received aortic artificial valves replacement. The results collected at the time of 3, 6, 12, 24, 36 and 48 months include: NYHA class, echocardiography (LVEDd, LVEDs, AVA, mean PG), Sokolow-Lyon, PPM and complications. Evaluation is based on the criteria of the Vietnam National Heart Association and the Guidelines of the ACC/AHA. Result: NYHA 1 was increased (76.1%) and NYHA 2 - 3 was 23.9% with p<0.05 in 6 months and an increasing trend at later times (p>0.05). Sokolow-Lyon index < 35mm after surgery > 90%, mid-term echocardiography AVA about 1.6cm², LVEF > 60%, mean PG < 20mmHg, LVEDd and LVEDs within normal limits. Hemorrhagic complications, stuck aortic valve (≤ 3.8%), fuite paraprosthetiques did not appear after 6 months. Conclusion: The medium-term outcome after aortic valve replacement for aortic stenosis has good clinical and subclinical improvement and the rate of medium-term complications is low.
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2. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP 3rd, Fleisher LA, Jneid H, Mack MJ, McLeod CJ, O'Gara PT, Rigolin VH, Sundt TM 3rd, Thompson A (2017) 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation 135(25):e1159-e1195.
3. Nguyễn Hải Âu (2019) Đánh giá kết quả điều trị phẫu thuật trên bệnh nhân hẹp van động mạch chủ tại Khoa Phẫu thuật tim - Bệnh viện Chợ Rẫy, thành phố Hồ Chí Minh.
4. Chiappini B, Camurri N, Loforte A et al (2004) Outcome after aortic valve replacement in octogenarians. The Annals of thoracic surgery 78(1): 85-89.
5. Hahn RT (2013) Comparison of transcatheter and surgical aortic valve replacement in severe aortic stenosis: A longitudinal study of echocardiography parameters in cohort a of the PARTNER trial (Placement of aortic transcatheter valves). J. Am. Coll. Cardiol 61(25): 2514-2521.
6. Gaudino M (2005) Survival after aortic valve replacement for aortic stenosis: Does left ventricular mass regression have a clinical correlate?. Eur. Heart J 26(1): 51-57.
7. Pibarot P (2018) Imaging for predicting and assessing prosthesis-patient mismatch after aortic valve replacement. JACC Cardiovasc Imaging 12(1): 149-162.
8. Demirsoy E, Demir I, Ugur M (2019) Management of prosthesis-patient mismatch after aortic valve replacement. Journal of Cardiovascular Medicine 7(2): 60-65.
9. Bilkhu R, Jahangiri M, Otto CM (2019) Patient-prosthesis mismatch following aortic valve replacement. Heart 105(1): 28-33.
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