Multiple Valve Replacement, a decade’s experience.

Mby Bilal; Junaid Sultan; Haris Bin Bilal; Bin Badar Bilal; Abid Hussain; Ali Gohar; Waqar Ahmed

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Multiple Valve Replacement, a decade’s experience.

Author(s)

Mby Bilal Department of Cardiac Surgery, Surgical Unit-1, AFIC/NIHD, Rawalpindi, Pakistan

Junaid Sultan Department of Cardiac Surgery, Surgical Unit-1, AFIC/NIHD, Rawalpindi, Pakistan

Haris Bin Bilal Department of Cardiac Surgery, Surgical Unit-1, AFIC/NIHD, Rawalpindi, Pakistan

Bin Badar Bilal Department of Cardiac Surgery, Surgical Unit-1, AFIC/NIHD, Rawalpindi, Pakistan

Abid Hussain Department of Cardiac Surgery, Surgical Unit-1, AFIC/NIHD, Rawalpindi, Pakistan

Ali Gohar Department of Cardiac Surgery, Surgical Unit-1, AFIC/NIHD, Rawalpindi, Pakistan

Waqar Ahmed Department of Cardiac Surgery, Surgical Unit-1, AFIC/NIHD, Rawalpindi, Pakistan

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 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%). The procedures done were according to the valves involved. Aortic valve replacement (AVR) with Mitral valve replacement (MVR) was maximum in 73.7%. Starr Edward Valve was used in the majority of cases (59%). Postoperative complications were present in 54.5% of cases. ICU problems were LCO, excessive bleeding, arrhythmias and pulmonary complications. Overall hospital mortality for the whole group was 28.8%, late mortality was 15.1%. Patients who were lost to follow up were 28.6% and relation of hospital mortality with disease pattern and NYHA grading was significant (p=0.0001).

Publication Details

Page(s) 153-159

DOI DOI not available

Published Journal: Pakistan Journal of Cardiology, Volume: 14, Issue: 3--4, Year: 2003

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