BENEFIT OF AORTIC VALVE REPLACEMENT IN AORTIC STENOSIS WITH VERY LOW LEFT VENTRICULAR EJECTION FRACTION

2019 ◽  
Vol 73 (9) ◽  
pp. 1956
Author(s):  
Mohamed-Salah Annabi ◽  
Abdellaziz Dahou ◽  
Ian Burwash ◽  
Philipp Bartko ◽  
Jutta Bergler-Klein ◽  
...  
2014 ◽  
pp. 74-78
Author(s):  
Duc Hien Nguyen ◽  
Quang Thuu Le

Background: Patients with aortic valve disease with severe left ventricular dysfunction usually have poor prognosis, postoperative mortality and morbidity are higher compared to those with normal left pump function. It is controversial in which state is too late for surgical indication on such patients with reduced left ventricular ejection fraction. Methods: From January 2012 to December 2013, 17 patients with aortic valve replacement with LVEF ≤ 40% were included. Results: Mean age was 27.29 ± 11.485 yrs. All AR patients were in severe regurgitation (≥ 3/4). All patients with AS had AR ≥ 2.5/4, severe stenosis with transvalvular gradient around 80mmHg. 64.70% NYHA class III-IV. 100% patients with mechanical valve replacement. ICU stay 7.29 days. No intraaortic baloon pump was needed. Operative mortality was 0%. Conclusion: Aortic valve replacement in patients with severe left ventricular dysfunction, although contains higher risk of mortality and morbidity, this is a method of choice which helps improve symtomps and LV function, and reduce mortality due to conventional therapy. Keyword: Aortic valve replacement; reduced left ventricular ejection fraction


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