Article Sidebar

PDF
Date Published: 02/11/2020
Online Published: 02/11/2020
Abstract Views: 317
Views PDF: 540
DOI: https://doi.org/10.47972/vjcts.v17i.128
Issue
Vol. 17
Section
Research Article
How to Cite
Huy, N. A. ., Hieu, T. T. ., & Hung, D. Q. . (2020). Early results of cardiac valve replacement in patients with severe valvular heart disease at Viet Duc hospital 2014-2016. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 17, 51-57. https://doi.org/10.47972/vjcts.v17i.128

Early results of cardiac valve replacement in patients with severe valvular heart disease at Viet Duc hospital 2014-2016

Nguyen Anh Huy, Tran Trung Hieu, Doan Quoc Hung

Main Article Content

Abstract

Our study group included 102 patients with valvular heart disease who had a low ejection fraction (EF) ≤ 50% and / or a increase in systolic artery pulmonary pressure ≥ 60mmHg. The mean age of the study group was 47.61 ± 12.14 years, 58.95% of patients had NYHA III or IV pre operative. All patients' valves were replaced by biological or mechanical valves. The average recovery time of patients was 6.02 ± 5.02 days. The number of days of using vasopressors was 6.52 ± 5.35 days. The early mortality rate after surgery was 2.94%. The size of the heart chambers improved well after surgery, together with a continuous rise in ejection fraction and systolic pulmonary artery pressure. Despite the risk of mortality and complications, cardiac valve replacement surgery in patients with severe valvular heart disease, which severe criteria are defined as low ejection fraction and/ or severe pulmonary artery pressure, is still the method of choice to help improve symptoms and cardiac function of the patients.

Article Details

Keywords

cardiac valve replacement; low ejection fraction; pulmonary hypertension

References

1. Marco Guazzi, Barry A. Borlaug (2012), "Pulmonary Hypertension Due to Left Heart Disease". Circulation. 126, 975-990.
2. Turina J., Stark T., et al. (1999) “Predictors of the long-term outcome after combined aortic and mitral valve surgery”, Circulation, 100 [suppl II], 48-53.
3. Brogan W.C III, Grayburn P.A., Lange R.A et al (1993), “Prognosis after valve replacement in patients with severe aortic stenosis and a low trasvalvular pressure gradient”, J Am Coll Cardiol 21:1657 – 1660.
4. Ram S., Eugene A.G, et al. (2003), “Aortic valve replacement in patients with impaired ventricular function”, Annal of thoracic surgery, 75, 1808-1814.
5. Chaliki H.P. (2002), “Outcomes after Aortic valve replacement in patients with severe aortic regurgitation and markedly reduced left ventricular function”, Circulation, 106, 2687-2693.
6. ACCF/AHA (2009), "Expert Consensus Document on Pulmonary Hypertension". Journal of the American College of Cardiology. 53(17), 1573-1619.
7. Todd L. Kiefer, Thomas M. Bashore (2011), "Pulmonary Hypertension Related to Left-Sided Cardiac Pathology". Pulmonary Medicine. 2011, 1-11.
8. Xiaochun Song (2015), "An excellent result of surgical treatment in patients with severe pulmonary arterial hypertension following mitral valve disease". Journal of Cardiothoracic Surgery. 10, 70-75.
9. Nirmal Kumar (2013), "Early Results of Mitral Valve Replacement in Severe Pulmonary Artery Hypertension-An Institutional Prospective Study". World Journal of Cardiovascular Surgery. 3, 63-69.
10.Neale S. et al, (1978), “Severe aortic stenosis with impaired left ventricular function and clinical heart failure: results of valve replacement”,Circulation, 58, 255-264.
11.David E.P, paul A.T. (2000), “Aortic valve replacement in patients with aortic stenosis and severe left ventricular dysfunction”, Arch Intern Med, 160,1337-1341.
12.Bishay E.S McCarthy P.M, Delos M. Cosgrove, Katherine J. Hoercher (2000), “Mitral valve surgery in patients with severe left ventricular dysfunction”, European Journal of Cardio-thoracic Surgery 17 (2000) 213-221.
13.Onorati F. et al (2014), “Effect of severe left ventricular systolic dysfunction on hospital outcome after transcatheter aortic valve implantation or surgical aortic valve replacement: Results from a propensity-matched population of the Italian OBSERVANT multicenter study”, The Journal of Thoracic and Cardiovascular Surgegy,147 (2), 568-575.
14.Đặng Hanh Sơn (2010), Nghiên cứu đánh giá kết quả phẫu thuật thay van hai lá bằng van cơ học sorbin tại bệnh viện tim Hà Nội, Luận án tiến sĩ y học, Học viện Quân Y.
15.Nguyễn Hồng Hạnh (2012), Nghiên cứu biến đổi lâm sàng, huyết động trước và sau phẫu thuật thay van hai lá bằng van cơ học loại Saint Jude Master, Luận án tiến sĩ, Viện nghiên cứu khoa học y-dược lâm sàng 108.
16. Nguyễn Đức Hiền (2007), Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả phẫu thuật thay van hai lá cơ học ở bệnh nhân hẹp van hai lá, Luận văn bác sĩ nội trú, Đại học Y dược Huế.
17.Nguyễn Duy Thắng, Đoàn Quốc Hưng. Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết quả thay van hai lá cơ học tại bệnh viện Hữu Nghị Việt Đức. Tạp chí tim mạch học Việt Nam 2012, 61, 3: 21-32
18.Nguyễn Hữu Ước (2005), Nghiên cứu đường mở nhĩ trái dọc qua hai nhĩ – vách liên nhĩ, mở rộng lên trần nhĩ trái trong phẫu thuật van hai lá, Luận án tiến sĩ Y học, Đại học Y Hà Nội.
19.Nguyễn Xuân Thành (2010), Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết quả phẫu thuật thay van hai lá có huyết khối nhĩ trái tại bệnh viện Việt Đức, Luận văn thạc sĩ, Đại học Y Hà Nội.
20. Phạm Hữu Lư, Nguyễn Hữu Ước (2013), " Phẫu thuật thay van hai lá với mở xương ức toàn bộ qua đƣờng rạch da tối thiểu ". Tạp chí phẫu thuật tim mạch và lồng ngực Việt Nam. 3, 10-15.