Multiple valve replacement, a decade's experience

ABSTRACT

Multiple Valve Replacement is the procedure involving replacement of more than one valve due to pathological changes. It was a prospective and randomized study of 72 patients for Multiple Valve Replacement at Armed Forces Institute of Cardiology [AFIC], by one surgeon. The major cause of multiple valve replacement in our country is Rheumatic heart disease and occurs in younger age group as compared to Caucasians. In this study most of the cases were of Mitral regurgitation with Aortic regurgitation [39.4 percent]. The procedures done were according to the valves involved. Aortic valve replacement [AVR] with Mitral valve replacement [MVR] was maximum in 73.7 percent. Starr Edward Valve was used in the majority of cases [59 percent]. Postoperative complications were present in 54.5 percent of cases. ICU problems were LCO, excessive bleeding, arrhythmias and pulmonary complications. Overall hospital mortality for the whole group was 28.8 percent, late mortality was 15.1 percent. Patients who were lost to follow up were 28.6 percent and 30.4 percent are still having the follow up. The relation of hospital mortality with disease pattern and NYHA grading was significant [p=0.0001]