Patient prosthesis mismatch after aortic valve replacement: An Indian perspective.
Ann Card Anaesth
;
2016 Jan; 19(1): 84-88
Artigo
em Inglês
| IMSEAR
| ID: sea-172289
ABSTRACT
Context Perioperative period. Aims:
Occurrence of PPM after AVR, factors associated with PPM, impact on mortality. Settings andDesign:
Teritary Care Referral Cardiac Centre. Materials andMethods:
A retrospective analysis of AVR procedures at a single centre over 4 years was conducted. Demographic, echocardiographic and outcome data were collected from institute database. Rahimtoola criteria of indexed effective orifice area (iEOA) were used to stratify patients into PPM categories. Patients with and without PPM were compared for associated factors. Statistical Analysis Used Independent t-test, chi-square test, logistic regression analysis, ROC-AUC, Youden index.Results:
606 patients with complete data were analysed for PPM. The incidence of mild, moderate and severe PPM was 6.1% (37), 2.5% (15) and 0.5% (3) respectively. There was no impact of PPM on all-cause in-hospital mortality. PPM was observed more with Aortic Stenosis (AS) compared to Aortic Regurgitation (AR) as etiology. Aortic annulus indexed to BSA (iAA) had a very good predictive ability for PPM at <16mm/m2BSA.Conclusions:
PPM has lower incidence after AVR in this Indian population and does not increase early mortality. Patients with AS and iAA<16mm/m2BSA should be cautiously dealt with to prevent PPM.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Tipo de estudo:
Estudo prognóstico
Idioma:
Inglês
Revista:
Ann Card Anaesth
Ano de publicação:
2016
Tipo de documento:
Artigo
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