Retrospective Study of Redo Mitral Valve Surgery in Cardiothoracic Surgery Department Al-Hussein University Hospital

Background: Cardiac surgery has become more common and crucial nowadays. The matter which leads to increased redo-surgeries with expected increase of overall complications after the redo. The used approach could affect overall outcome. However, this is not addressed well in literature.Aim of the wor...

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Autores principales:	El-Sayed Ramadan Mohamed Hassan, Ibrahim Mahmoud Elsayaad, Mohamed El-Desouky Sharaa
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	mitral valve reoperation transseptal tansatrial outcome Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/ad7393bd06e04054a3ceff96af095c20
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spelling	oai:doaj.org-article:ad7393bd06e04054a3ceff96af095c202021-12-02T17:56:47ZRetrospective Study of Redo Mitral Valve Surgery in Cardiothoracic Surgery Department Al-Hussein University Hospital2636-41742682-378010.21608/ijma.2021.53956.1225https://doaj.org/article/ad7393bd06e04054a3ceff96af095c202021-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_191647_0c6c3cd148ad4cd2ca3fa9da2cc26b54.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Cardiac surgery has become more common and crucial nowadays. The matter which leads to increased redo-surgeries with expected increase of overall complications after the redo. The used approach could affect overall outcome. However, this is not addressed well in literature.Aim of the work: To examine the overall outcome of patients underwent redo-mitral valve replacement [redo-MVR].Patients and methods: This study is a retrospective comparative study that was conducted in Cardiothoracic Surgery Department, Al-Hussein University Hospital in the last three years [from January, 1st, 2017 to the end of December 2019]. Collected data included patient demographics, surgical approach and overall short-term outcome.Results: The current study included 37 patients; the mean age was 45.19±9.16 years. The most common indication for redo was pannus formation [48.6%], followed by thrombosis [45.9%]. There was no significant difference between preoperative and postoperative heart rhythm. Redo sternotomy was the most common, reported in all patients, and femoral bypass done for 3 patients. Trans-atrial approach reported in 24 patients [64.86%] while Trans-septal approach reported in 13 patients [35.14%]. No significant difference between preoperative and postoperative echo data [Ejection Friction, left atrial dimension or left ventricle end diastolic dimension]. However, there was a significant reduction of left ventricle end-systolic dimension [LVESD], pulmonary artery systolic pressure [PASP] and pressure gradient [PG] cross mitral valve after operation. Reoperation for bleeding was not reported in any cases, while need for new pacemaker reported in 2 patients [5.41%], new postoperative neurological dysfunction reported in new heart failure or need to dialysis in two patients [5.41%]. The postoperative arrhythmia was reported in 7 patients [18.9%] and there has been mortality in three patients [10.8%].Conclusion: The results of the current study showed that, both transseptal and transatrial approaches are comparable and no one is superior to the other.El-Sayed Ramadan Mohamed HassanIbrahim Mahmoud ElsayaadMohamed El-Desouky SharaaAl-Azhar University, Faculty of Medicine (Damietta)articlemitral valvereoperationtransseptaltansatrialoutcomeMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 4, Pp 1784-1791 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	mitral valve reoperation transseptal tansatrial outcome Medicine (General) R5-920
spellingShingle	mitral valve reoperation transseptal tansatrial outcome Medicine (General) R5-920 El-Sayed Ramadan Mohamed Hassan Ibrahim Mahmoud Elsayaad Mohamed El-Desouky Sharaa Retrospective Study of Redo Mitral Valve Surgery in Cardiothoracic Surgery Department Al-Hussein University Hospital
description	Background: Cardiac surgery has become more common and crucial nowadays. The matter which leads to increased redo-surgeries with expected increase of overall complications after the redo. The used approach could affect overall outcome. However, this is not addressed well in literature.Aim of the work: To examine the overall outcome of patients underwent redo-mitral valve replacement [redo-MVR].Patients and methods: This study is a retrospective comparative study that was conducted in Cardiothoracic Surgery Department, Al-Hussein University Hospital in the last three years [from January, 1st, 2017 to the end of December 2019]. Collected data included patient demographics, surgical approach and overall short-term outcome.Results: The current study included 37 patients; the mean age was 45.19±9.16 years. The most common indication for redo was pannus formation [48.6%], followed by thrombosis [45.9%]. There was no significant difference between preoperative and postoperative heart rhythm. Redo sternotomy was the most common, reported in all patients, and femoral bypass done for 3 patients. Trans-atrial approach reported in 24 patients [64.86%] while Trans-septal approach reported in 13 patients [35.14%]. No significant difference between preoperative and postoperative echo data [Ejection Friction, left atrial dimension or left ventricle end diastolic dimension]. However, there was a significant reduction of left ventricle end-systolic dimension [LVESD], pulmonary artery systolic pressure [PASP] and pressure gradient [PG] cross mitral valve after operation. Reoperation for bleeding was not reported in any cases, while need for new pacemaker reported in 2 patients [5.41%], new postoperative neurological dysfunction reported in new heart failure or need to dialysis in two patients [5.41%]. The postoperative arrhythmia was reported in 7 patients [18.9%] and there has been mortality in three patients [10.8%].Conclusion: The results of the current study showed that, both transseptal and transatrial approaches are comparable and no one is superior to the other.
format	article
author	El-Sayed Ramadan Mohamed Hassan Ibrahim Mahmoud Elsayaad Mohamed El-Desouky Sharaa
author_facet	El-Sayed Ramadan Mohamed Hassan Ibrahim Mahmoud Elsayaad Mohamed El-Desouky Sharaa
author_sort	El-Sayed Ramadan Mohamed Hassan
title	Retrospective Study of Redo Mitral Valve Surgery in Cardiothoracic Surgery Department Al-Hussein University Hospital
title_short	Retrospective Study of Redo Mitral Valve Surgery in Cardiothoracic Surgery Department Al-Hussein University Hospital
title_full	Retrospective Study of Redo Mitral Valve Surgery in Cardiothoracic Surgery Department Al-Hussein University Hospital
title_fullStr	Retrospective Study of Redo Mitral Valve Surgery in Cardiothoracic Surgery Department Al-Hussein University Hospital
title_full_unstemmed	Retrospective Study of Redo Mitral Valve Surgery in Cardiothoracic Surgery Department Al-Hussein University Hospital
title_sort	retrospective study of redo mitral valve surgery in cardiothoracic surgery department al-hussein university hospital
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/ad7393bd06e04054a3ceff96af095c20
work_keys_str_mv	AT elsayedramadanmohamedhassan retrospectivestudyofredomitralvalvesurgeryincardiothoracicsurgerydepartmentalhusseinuniversityhospital AT ibrahimmahmoudelsayaad retrospectivestudyofredomitralvalvesurgeryincardiothoracicsurgerydepartmentalhusseinuniversityhospital AT mohamedeldesoukysharaa retrospectivestudyofredomitralvalvesurgeryincardiothoracicsurgerydepartmentalhusseinuniversityhospital
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Retrospective Study of Redo Mitral Valve Surgery in Cardiothoracic Surgery Department Al-Hussein University Hospital

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