Outcomes After Valve Surgery for Rheumatic Heart Disease in Western Australia

AbstractBackground:Rheumatic heart disease is the most common cardiac diseases in developing countries including Ethiopia. The current study aimed to describe the immediate surgical outcome following valve surgery for rheumatic heart disease in Ethiopia.Methods:Data were collected through chart abstraction from two centres in Addis Ababa, Ethiopia: the Cardiac Center of Ethiopia and El Ouzier cardiac centre. Included were all patients who were operated for rheumatic valvular heart disease in the mentioned centres by local cardiac surgical team during the period from June 2017 to April 2020. Demographic and clinical characteristics of the study population at admission and within 30 days of the index cardiac surgery were collected. Statistical Package for Social Sciences version 20.0 for windows was used to analyse the data.Result:Of the 114 patients included in the study (median age 31 years with interquartile range of 23–40), 62 (54.4%) of them were female. Surgical procedures done were triple valve surgery 9 (7.9%) patients, mitral and tricuspid valves 26 (22.8%) patients, double-valve 16 (14.0%) patients, single-valve surgery 50.9% (11 aortic and 47 mitral valves) of patients, redo mitral valve surgery 3 (2.6%) patients, and left maze with mitral valve surgery 2 (1.8%) patients. Of the total, 103 (90.4%) of them had mitral valve surgery. Post-operatively, 5 (4.4%) patients died within 30 days following the index surgery.Conclusion:Immediate surgical outcome following valve surgery for rheumatic heart disease had excellent outcome in our setting. This evidence can be taken as a show of success in building local capacity to manage rheumatic heart disease surgically.

Download Full-text

Rheumatic Heart Disease: 30 years of Valve Surgery clarifying the Autoimmune Process

Journal of Surgery and Research ◽

10.26502/jsr.2642-10020039 ◽

2019 ◽

Vol 02 (04) ◽

Author(s):

Pomerantzeff PMA ◽

Brandao CMA ◽

Aiello VD ◽

Demarchi LM ◽

Sampaio RO ◽

...

Keyword(s):

Heart Disease ◽

Rheumatic Heart Disease ◽

Valve Surgery ◽

Autoimmune Process ◽

Rheumatic Heart

Download Full-text

P1363 Risk factors of severe tricuspid regurgitation after left-sided valve surgery

European Heart Journal - Cardiovascular Imaging ◽

10.1093/ehjci/jez319.798 ◽

2020 ◽

Vol 21 (Supplement_1) ◽

Author(s):

R Horita ◽

K Mahara ◽

Y Izumi ◽

M Terada ◽

K Kishiki ◽

...

Keyword(s):

Risk Factors ◽

Heart Disease ◽

Mitral Valve ◽

Rheumatic Heart Disease ◽

Tricuspid Regurgitation ◽

Valve Surgery ◽

Mitral Valve Stenosis ◽

Tricuspid Valve Repair ◽

Icd Implantation ◽

Rheumatic Heart

Abstract Background Tricuspid regurgitation (TR) sometimes deteriorate late after left-sided valve surgery. The recent guidelines recommend tricuspid valve repair at the same time as the left-sided valve surgery. However, little is known about the pathophysiology that leads to severe TR after left-sided valve surgery. Purpose To clarify the risk factors of the patients with severe TR after left-sided valve surgery. Methods We retrospectively investigated consecutive 526 patients diagnosed as severe TR from January 2004 to December 2018 at our hospital. Clinical background, echocardiographic parameters were evaluated. Demographic information and clinical data (including age, electrocardiograms, type of left-sided valve surgery, underlying valve diseases and history of pacemaker or ICD implantation) were obtained by chart review. Results Of the 526 patients with severe TR, 107 patients were after a left-sided valve surgery. Patients developed severe TR at a mean of 14.8 ± 8 years after surgery.The surgical indications were as follows: mitral valve stenosis (74 patients, 69%), mitral valve regurgitation (43 patients, 40%), aortic valve stenosis (37 patients, 35%) and aortic regurgitation (28 patients, 26%), respectively. The mean age at diagnosis of severe TR was 74 ± 10 years and 75 were female (70%). Among those patients, 32 patients (30%) had a tricuspid annuloplasty (TAP) with the first left-sided valve surgery. Ninety-five patients (88%) had atrial fibrillation (AF), 75 patients (70%) were diagnosed as rheumatic heart disease, 64 patients (60%) had pulmonary artery hypertension (PH) and 28 patients (26%) had a permanent pacemaker or ICD implantation. There were only 12 patients who had severe TR without AF. Eight of 12 patients without AF had PH, and permanent pacemakers were implanted in remaining 4 patients. Conclusions Almost all patients with severe TR after left-sided valve surgery present with AF and prevalence of rheumatic heart disease were about 70 percent. These two factors may be one of the important risk factors for severe TR after left-sided valve surgery.

Download Full-text

A review of valve surgery for rheumatic heart disease in Australia

BMC Cardiovascular Disorders ◽

10.1186/1471-2261-14-134 ◽

2014 ◽

Vol 14 (1) ◽

Cited By ~ 11

Author(s):

Elizabeth Anne Russell ◽

Lavinia Tran ◽

Robert A Baker ◽

Jayme S Bennetts ◽

Alex Brown ◽

...

Keyword(s):

Heart Disease ◽

Rheumatic Heart Disease ◽

Valve Surgery ◽

Rheumatic Heart

Download Full-text

Decade-long mitral valve surgery trends and rheumatic heart disease: a review of mitral valve surgery in a large Chinese cardiovascular center

Annals of Palliative Medicine ◽

10.21037/apm-21-2005 ◽

2021 ◽

Vol 0 (0) ◽

pp. 0-0

Author(s):

Yuqing Jiao ◽

Tiange Luo ◽

Xu Meng ◽

Jiangang Wang

Keyword(s):

Heart Disease ◽

Mitral Valve ◽

Rheumatic Heart Disease ◽

Mitral Valve Surgery ◽

Valve Surgery ◽

Cardiovascular Center ◽

Rheumatic Heart

Download Full-text

Prevalence of Coronary Artery Lesion(S) in Pati ents Aged 40-50 Years Undergoing Rheumatic Valvular Surgery

European Scientific Journal ESJ ◽

10.19044/esj.2018.v14n6p363 ◽

2018 ◽

Vol 14 (6) ◽

pp. 363

Author(s):

Sameh Elameen ◽

Alsayed Salem ◽

Ahmed Abdelgawad ◽

Ahmed El shemy ◽

Saber Taha ◽

...

Keyword(s):

Coronary Artery Disease ◽

Heart Disease ◽

Coronary Artery ◽

Rheumatic Heart Disease ◽

Valve Surgery ◽

Positive Finding ◽

Valvular Surgery ◽

Iodinated Contrast ◽

Artery Disease ◽

Rheumatic Heart

Objective: To determine the prevalence of coronary artery disease in patients undergoing valve surgery for rheumatic heart disease between age 40-50 years, usefulness, and indication of pre-operative coronary angiography. Methods: This is an observational prospective study that took place in 2 hospitals (National Heart Institute and Nasser Institute) within the period starting from January 2013 to January 2015. We included 454 rheumatic patients that were admitted for elective primary mitral, aortic or double valve surgery, and that had a coronary angiogram in their regular preoperative workup. All coronary angiographies were performed by injecting right and left coronaries by using 80-100 ml of iodinated contrast to obtain the standard views of both right and left coronaries using Philips or Siemens machines in both hospitals. Coronary artery disease (CAD) of 50% is considered to be a positive finding. Results: There was no correlation between rheumatic heart disease in this age group and CAD as only 1.76% had the significant stenosis. Male gender, family history of CAD, age above 45yrs, hypertension, and smoking showed significant correlation with the CAD in this study. Conclusion: Our results suggest that the overall prevalence of coronary artery disease in patients undergoing rheumatic valve surgery in our population is not comparable with the prevalence reported in international data. So, multicenter studies are needed in developing countries to set their own guidelines. Therefore, our study can be the nucleus for these guidelines in our country.

Download Full-text