Three years follow-up of prosthetic heart valve implantation in Assiut University hospital

ABSTRACT

Three-year follow up of 51 hospital survivors who underwent isolated aortic valve replacement [AVR, n = 29], mitral valve replacement [MVR, n = 17] or both aortic and mitral valve replacement [AMVR, n = 5] showed a decrease in the actuarial survival rate at the end of the 1st year to 94% compared with 86% survival rate at the end of the 3rd year. Considering the valve site, the actuarial survival rate after AVR at the end of the 3rd year was 79% compared with 72% after MVR. Valve-related complications occurred in 11 patients. Prosthetic valve endocarditis was fatal in 5 cases, anticoagulant-related hemorrhage was encountered in 5 cases with a fatal event in one patient. Valve thrombosis was a lethal cause in one patient. Cardiac non-valvular complication in the form of coronary ischemia was encountered in one case, 3 years after AVR. Noncardiac non-valvular complications were false thoracic aortic aneurysm in one case and epigastric hernia in another case. At the end of the 3 years of follow-up, 72.5% of the patients were free from morbidity