BEATING HEART MITRAL VALVE REPLACEMENT. EXPERIENCE AT A TERTIARY CARE HOSPITAL

Objective: To study the early outcomes of mitral valve surgery performed with a beating heart and cardiopulmonary bypass. Study Design: Prospective descriptive study. Place and Duration of Study: Cardiac Surgery department, Rawalpindi Institute of Cardiology, Rawalpindi, from Aug 2017 to Aug 2...

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Autores principales:	Musfireh Siddiqeh, Imran Khan, Fakher -e- Fayaz, Asif Janjua, Ali Gohar Zamir, Afifa Mushtaq
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	beating heart early outcomes mitral valve replacement Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/16dcc900a21947cda829e165ba78676d
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spelling	oai:doaj.org-article:16dcc900a21947cda829e165ba78676d2021-12-02T19:11:08ZBEATING HEART MITRAL VALVE REPLACEMENT. EXPERIENCE AT A TERTIARY CARE HOSPITALdoi.org/10.51253/pafmj.v70iSuppl-4.60290030-96482411-8842https://doaj.org/article/16dcc900a21947cda829e165ba78676d2020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6029https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To study the early outcomes of mitral valve surgery performed with a beating heart and cardiopulmonary bypass. Study Design: Prospective descriptive study. Place and Duration of Study: Cardiac Surgery department, Rawalpindi Institute of Cardiology, Rawalpindi, from Aug 2017 to Aug 2019. Methodology: Consecutive patients requiring mitral valve surgery were included in the study. Those requiring multiple procedures, redo procedures and emergency procedures were excluded from the study. Data was collected on preformed proformas and perioperative variables were recorded. Patients were followed till discharge or 30 days after the surgery. Statistical Package for Social Sciences version 23.0 was used to analyse the data. Results: A total of 27 patients were included in the study, 21 (77.78%) female and 6 (22.2%) male patients. The mean age of the patients was 30.89 ± 10.8 years. Of the cohort, 4 (14.8%) had mitral stenosis, 16 (59.3%) had mitral regurgitation and mixed disease (both mitral stenosis and mitral regurgitation) was present in 7 (25.9%). The median pulmonary artery pressure (mPAP) was 34 mmHg. All the patients received mechanical mitral valve prosthesis, 27 (100%). A modified Devaga’s procedure for tricuspid valve repair was done in 4 (14.8%) patients. Most of the patients required only mild inotropic support, 22 (81.4%). Median intensive care unit stay was 24 hours with a mean of 33 ± 16 hours. All the patients were alive at the end of the early follow up. Conclusion: Beating heart mitral valve surgery on cardiopulmonary bypass is a feasible technique. It has acceptable early outcome in terms of mortality and major morbidity indicators.Musfireh SiddiqehImran KhanFakher -e- FayazAsif JanjuaAli Gohar ZamirAfifa MushtaqArmy Medical College Rawalpindiarticlebeating heartearly outcomesmitral valve replacementMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 4, Pp 809-813 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	beating heart early outcomes mitral valve replacement Medicine R Medicine (General) R5-920
spellingShingle	beating heart early outcomes mitral valve replacement Medicine R Medicine (General) R5-920 Musfireh Siddiqeh Imran Khan Fakher -e- Fayaz Asif Janjua Ali Gohar Zamir Afifa Mushtaq BEATING HEART MITRAL VALVE REPLACEMENT. EXPERIENCE AT A TERTIARY CARE HOSPITAL
description	Objective: To study the early outcomes of mitral valve surgery performed with a beating heart and cardiopulmonary bypass. Study Design: Prospective descriptive study. Place and Duration of Study: Cardiac Surgery department, Rawalpindi Institute of Cardiology, Rawalpindi, from Aug 2017 to Aug 2019. Methodology: Consecutive patients requiring mitral valve surgery were included in the study. Those requiring multiple procedures, redo procedures and emergency procedures were excluded from the study. Data was collected on preformed proformas and perioperative variables were recorded. Patients were followed till discharge or 30 days after the surgery. Statistical Package for Social Sciences version 23.0 was used to analyse the data. Results: A total of 27 patients were included in the study, 21 (77.78%) female and 6 (22.2%) male patients. The mean age of the patients was 30.89 ± 10.8 years. Of the cohort, 4 (14.8%) had mitral stenosis, 16 (59.3%) had mitral regurgitation and mixed disease (both mitral stenosis and mitral regurgitation) was present in 7 (25.9%). The median pulmonary artery pressure (mPAP) was 34 mmHg. All the patients received mechanical mitral valve prosthesis, 27 (100%). A modified Devaga’s procedure for tricuspid valve repair was done in 4 (14.8%) patients. Most of the patients required only mild inotropic support, 22 (81.4%). Median intensive care unit stay was 24 hours with a mean of 33 ± 16 hours. All the patients were alive at the end of the early follow up. Conclusion: Beating heart mitral valve surgery on cardiopulmonary bypass is a feasible technique. It has acceptable early outcome in terms of mortality and major morbidity indicators.
format	article
author	Musfireh Siddiqeh Imran Khan Fakher -e- Fayaz Asif Janjua Ali Gohar Zamir Afifa Mushtaq
author_facet	Musfireh Siddiqeh Imran Khan Fakher -e- Fayaz Asif Janjua Ali Gohar Zamir Afifa Mushtaq
author_sort	Musfireh Siddiqeh
title	BEATING HEART MITRAL VALVE REPLACEMENT. EXPERIENCE AT A TERTIARY CARE HOSPITAL
title_short	BEATING HEART MITRAL VALVE REPLACEMENT. EXPERIENCE AT A TERTIARY CARE HOSPITAL
title_full	BEATING HEART MITRAL VALVE REPLACEMENT. EXPERIENCE AT A TERTIARY CARE HOSPITAL
title_fullStr	BEATING HEART MITRAL VALVE REPLACEMENT. EXPERIENCE AT A TERTIARY CARE HOSPITAL
title_full_unstemmed	BEATING HEART MITRAL VALVE REPLACEMENT. EXPERIENCE AT A TERTIARY CARE HOSPITAL
title_sort	beating heart mitral valve replacement. experience at a tertiary care hospital
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/16dcc900a21947cda829e165ba78676d
work_keys_str_mv	AT musfirehsiddiqeh beatingheartmitralvalvereplacementexperienceatatertiarycarehospital AT imrankhan beatingheartmitralvalvereplacementexperienceatatertiarycarehospital AT fakherefayaz beatingheartmitralvalvereplacementexperienceatatertiarycarehospital AT asifjanjua beatingheartmitralvalvereplacementexperienceatatertiarycarehospital AT aligoharzamir beatingheartmitralvalvereplacementexperienceatatertiarycarehospital AT afifamushtaq beatingheartmitralvalvereplacementexperienceatatertiarycarehospital
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BEATING HEART MITRAL VALVE REPLACEMENT. EXPERIENCE AT A TERTIARY CARE HOSPITAL

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