EARLY MORTALITY & MORBIDITY IN MITRAL VALVE REPLACEMENT WITH TOTAL SUB-VALVULAR APPARATUS PRESERVATION, PARTIAL PRESERVATION AND NO PRESERVATION - A COMPARATIVE STUDY

Objective: To compare the early morbidity & mortality of total sub-valvular apparatus preservation technique vs partial preservation technique and no preservation technique in mitral valve replacement. Study Design: Cross-sectional comparative study. Place and Duration of Study: Department...

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Autores principales:	Muhammad Ashfaq, Nasir Ali, Asif Mahmood Janjua, Naser Ali Khan, Muhammad Imran Ashgar, Kifayat Ullah, Yasir Javed
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	mitral valve replacement subvalvular apparatus preservation operative techniques Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/d1e3ee1c8384440b85f2fc060c1e1708
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spelling	oai:doaj.org-article:d1e3ee1c8384440b85f2fc060c1e17082021-12-02T14:56:24ZEARLY MORTALITY & MORBIDITY IN MITRAL VALVE REPLACEMENT WITH TOTAL SUB-VALVULAR APPARATUS PRESERVATION, PARTIAL PRESERVATION AND NO PRESERVATION - A COMPARATIVE STUDYdoi.org/10.51253/pafmj.v70iSuppl-4.60060030-96482411-8842https://doaj.org/article/d1e3ee1c8384440b85f2fc060c1e17082020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6006https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the early morbidity & mortality of total sub-valvular apparatus preservation technique vs partial preservation technique and no preservation technique in mitral valve replacement. Study Design: Cross-sectional comparative study. Place and Duration of Study: Department of Cardiac Surgery, Armed Forces Institute of Cardiology Rawalpindi, from Jan 2017 to Dec 2018. Methodology: One hundred fifty seven patients who underwent Mitral valve replacement were included in study. These patients were divided into three groups; group “A” comprised of those patients with total subvalvular apparatus preservation (n1=46), group “B” comprised of those patients with partial sub-valvular apparatus preservation (n2=70), group “C” comprised of those patients with no sub-valvular apparatus preservation (n3=41). Results: There were no statistical difference in the pre-operative data of the patients. No statistical difference noted in cross clamp & bypass time (p>0.05). The early morbidity in terms of ICU stay, Ventilation time, Inotropic supports, post-operative bleeding, Blood transfusion, postoperative rhythm abnormality & Re-exploration were statically significant (p<0.05). The mortality rate of patients with total sub-valvular apparatus preservation was 2.17% which is significantly less than those with partial preservation (2.85%) & no preservation (9.75%). Conclusions: Mitral valve replacement with total subvalvular apparatus preservation had low postoperative morbidity & mortality in comparison with partial and no preservation techniques.Muhammad AshfaqNasir AliAsif Mahmood JanjuaNaser Ali KhanMuhammad Imran AshgarKifayat UllahYasir JavedArmy Medical College Rawalpindiarticlemitral valve replacementsubvalvular apparatus preservationoperative techniquesMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 4, Pp 715-720 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	mitral valve replacement subvalvular apparatus preservation operative techniques Medicine R Medicine (General) R5-920
spellingShingle	mitral valve replacement subvalvular apparatus preservation operative techniques Medicine R Medicine (General) R5-920 Muhammad Ashfaq Nasir Ali Asif Mahmood Janjua Naser Ali Khan Muhammad Imran Ashgar Kifayat Ullah Yasir Javed EARLY MORTALITY & MORBIDITY IN MITRAL VALVE REPLACEMENT WITH TOTAL SUB-VALVULAR APPARATUS PRESERVATION, PARTIAL PRESERVATION AND NO PRESERVATION - A COMPARATIVE STUDY
description	Objective: To compare the early morbidity & mortality of total sub-valvular apparatus preservation technique vs partial preservation technique and no preservation technique in mitral valve replacement. Study Design: Cross-sectional comparative study. Place and Duration of Study: Department of Cardiac Surgery, Armed Forces Institute of Cardiology Rawalpindi, from Jan 2017 to Dec 2018. Methodology: One hundred fifty seven patients who underwent Mitral valve replacement were included in study. These patients were divided into three groups; group “A” comprised of those patients with total subvalvular apparatus preservation (n1=46), group “B” comprised of those patients with partial sub-valvular apparatus preservation (n2=70), group “C” comprised of those patients with no sub-valvular apparatus preservation (n3=41). Results: There were no statistical difference in the pre-operative data of the patients. No statistical difference noted in cross clamp & bypass time (p>0.05). The early morbidity in terms of ICU stay, Ventilation time, Inotropic supports, post-operative bleeding, Blood transfusion, postoperative rhythm abnormality & Re-exploration were statically significant (p<0.05). The mortality rate of patients with total sub-valvular apparatus preservation was 2.17% which is significantly less than those with partial preservation (2.85%) & no preservation (9.75%). Conclusions: Mitral valve replacement with total subvalvular apparatus preservation had low postoperative morbidity & mortality in comparison with partial and no preservation techniques.
format	article
author	Muhammad Ashfaq Nasir Ali Asif Mahmood Janjua Naser Ali Khan Muhammad Imran Ashgar Kifayat Ullah Yasir Javed
author_facet	Muhammad Ashfaq Nasir Ali Asif Mahmood Janjua Naser Ali Khan Muhammad Imran Ashgar Kifayat Ullah Yasir Javed
author_sort	Muhammad Ashfaq
title	EARLY MORTALITY & MORBIDITY IN MITRAL VALVE REPLACEMENT WITH TOTAL SUB-VALVULAR APPARATUS PRESERVATION, PARTIAL PRESERVATION AND NO PRESERVATION - A COMPARATIVE STUDY
title_short	EARLY MORTALITY & MORBIDITY IN MITRAL VALVE REPLACEMENT WITH TOTAL SUB-VALVULAR APPARATUS PRESERVATION, PARTIAL PRESERVATION AND NO PRESERVATION - A COMPARATIVE STUDY
title_full	EARLY MORTALITY & MORBIDITY IN MITRAL VALVE REPLACEMENT WITH TOTAL SUB-VALVULAR APPARATUS PRESERVATION, PARTIAL PRESERVATION AND NO PRESERVATION - A COMPARATIVE STUDY
title_fullStr	EARLY MORTALITY & MORBIDITY IN MITRAL VALVE REPLACEMENT WITH TOTAL SUB-VALVULAR APPARATUS PRESERVATION, PARTIAL PRESERVATION AND NO PRESERVATION - A COMPARATIVE STUDY
title_full_unstemmed	EARLY MORTALITY & MORBIDITY IN MITRAL VALVE REPLACEMENT WITH TOTAL SUB-VALVULAR APPARATUS PRESERVATION, PARTIAL PRESERVATION AND NO PRESERVATION - A COMPARATIVE STUDY
title_sort	early mortality & morbidity in mitral valve replacement with total sub-valvular apparatus preservation, partial preservation and no preservation - a comparative study
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/d1e3ee1c8384440b85f2fc060c1e1708
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EARLY MORTALITY & MORBIDITY IN MITRAL VALVE REPLACEMENT WITH TOTAL SUB-VALVULAR APPARATUS PRESERVATION, PARTIAL PRESERVATION AND NO PRESERVATION - A COMPARATIVE STUDY

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