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Date Published: 02/11/2020
Abstract Views: 304
Views PDF: 507
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

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