scholarly journals Coronary computed tomography angiography detection of short- and long-term outcomes after heart valve surgery with high risk cardiovascular patients

2018 ◽  
Vol 38 (2) ◽  
Author(s):  
Zhi Zhu ◽  
Shuofeng Li
Keyword(s):  
High Risk ◽  
Heart Valve ◽  
Coronary Computed Tomography Angiography ◽  
Left Ventricular ◽  
Valve Surgery ◽  
Heart Valve Surgery ◽  
Long Term Outcomes ◽  
Cardiovascular Patients ◽  
Short And Long Term

Coronary computed tomography angiography (CCTA) is a promising alternative technique to detect significant coronary artery lesions in high-risk cardiovascular patients with left ventricular dysfunction (left ventricular ejection fractions < 40%) referred for elective valve surgery, while little research about the use of CCTA to detect the outcomes of heart valve surgery was performed. Forty-six consecutive high-risk cardiovascular patients with the New York Heart Association (NYHA) classification were retrospectively studied. Immediate, 10-week, 20-week, and 40-week outcomes after heart valve surgery were assessed with CCTA. Patients’ average age at the time of surgery was 73 years, with the majority being male (54.35%). Among the CCTA parameters detected after 10, 20, and 40 weeks after heart valve surgery, only segment involvement score (SIS) did reach statistical significance when compared with baseline levels. The cumulative mortality rate at 10, 20, and 40 weeks were 19.56%, 30.43%, and 39.13% respectively. It can be seen that the early death is mainly due to complications, and with the time-lapse of surgery, the impact of complications on death is gradually eliminated. CCTA might be a useful tool to detect the outcomes of short- and long-term outcomes after heart valve surgery with high risk cardiovascular patients, and SIS level is associated with the short- and long-term outcomes.

scholarly journals The impact of preoperative sarcopenia, defined based on psoas muscle area, on long-term outcomes of heart valve surgery

2019 ◽  
Vol 157 (3) ◽  
pp. 1071-1079.e3 ◽  
Author(s):  
Homare Okamura ◽  
Naoyuki Kimura ◽  
Keisuke Tanno ◽  
Makiko Mieno ◽  
Harunobu Matsumoto ◽  
...  
Keyword(s):  
Heart Valve ◽  
Psoas Muscle ◽  
Valve Surgery ◽  
Heart Valve Surgery ◽  
Long Term Outcomes ◽  
Muscle Area ◽  
The Impact

scholarly journals MON-610 Different Effects of Subclinical Hypothyroidism on Long-Term Outcomes of Patients Underwent CABG and Heart Valve Surgery

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Hana Kim ◽  
Sung Hye Kong ◽  
Sun Wook Cho ◽  
Jae Hoon Moon ◽  
Ka Hee Yi ◽  
...  
Keyword(s):  
Heart Valve ◽  
Subclinical Hypothyroidism ◽  
Valve Surgery ◽  
Heart Valve Surgery ◽  
Long Term Outcomes

Short and long-term management of haemophilia A patient requiring heart valve surgery

Haemophilia ◽  
2012 ◽  
Vol 18 (4) ◽  
pp. e352-e354 ◽  
Author(s):  
K. ZATORSKA ◽  
E. ORŁOWSKA-BARANOWSKA ◽  
E. ABRAMCZUK ◽  
M. KUŚMIERCZYK ◽  
L. GRESZATA ◽  
...  
Keyword(s):  
Heart Valve ◽  
Valve Surgery ◽  
Haemophilia A ◽  
Heart Valve Surgery ◽  
Short And Long Term ◽  
Term Management

Beating heart valve surgery as possible alternative for high risk patients

2005 ◽  
Vol 53 (S 3) ◽  
Author(s):  
J Easo ◽  
M Horst ◽  
P Hoelzl ◽  
E Natour ◽  
O Dapunt
Keyword(s):  
High Risk ◽  
Heart Valve ◽  
Beating Heart ◽  
Valve Surgery ◽  
Heart Valve Surgery ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Long-term Thromboembolic Risk in Patients With Postoperative Atrial Fibrillation After Left-Sided Heart Valve Surgery

2019 ◽  
Vol 4 (11) ◽  
pp. 1139 ◽  
Author(s):  
Jawad Haider Butt ◽  
Jonas Bjerring Olesen ◽  
Anna Gundlund ◽  
Thomas Kümler ◽  
Peter Skov Olsen ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Heart Valve ◽  
Valve Surgery ◽  
Postoperative Atrial Fibrillation ◽  
Heart Valve Surgery ◽  
Thromboembolic Risk

Combined PCI and minimally invasive heart valve surgery for high-risk patients

2009 ◽  
Vol 11 (6) ◽  
pp. 492-498 ◽  
Author(s):  
Ramanan Umakanthan ◽  
Marzia Leacche ◽  
Michael R. Petracek ◽  
David X. Zhao ◽  
John G. Byrne
Keyword(s):  
High Risk ◽  
Minimally Invasive ◽  
Heart Valve ◽  
Valve Surgery ◽  
Heart Valve Surgery ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Early Outcomes in Patients with Severe Dilated Left Ventricle Disease after Heart Valve Surgery

2021 ◽  
Author(s):  
Siming Zhu ◽  
Shengli Jiang
Keyword(s):  
Mechanical Ventilation ◽  
Left Ventricle ◽  
Heart Valve ◽  
Left Ventricular ◽  
Valve Surgery ◽  
Left Ventricular Ejection ◽  
Prognostic Impact ◽  
Heart Valve Surgery ◽  
Vasoactive Agents

Objectives: The study sought to examine the prognostic impact of valvular surgery in patients with severe dilated left ventricle(DL) and assess morphological and functional changes of DL in the early period after operation. Methods: From January 2013 to December 2018, at a single center, 126 patients with severe dilated left ventricle (DL group) and 511 patients with 511 patients with normal sized left ventricle (NL group) underwent heart valve surgery. Retrospective review of the procedure and the postoperative clinical course, including echocardiography were analyzed in 6 to 12-month follow up. Results: Compared with NL group, DL group had significantly higher postoperative all-cause mortality (3.2% vs 1.4%) and complication rate, as well as longer duration of mechanical ventilation and vasoactive agents support. In DL group, 4 (3.2%) patients died in the early postoperative stage among which 2 (1.6%) patients died from multiple organ failure (MOF) secondary to severe low-output syndrome, 2 (1.6%) patients died from ventricular fibrillation. The DL group had longer time of mechanical ventilation and vasoactive agents support than NL group postoperatively. In DL group, the progressive regression of end-diastole diameter (LVEDD) was observed during the follow-up; whereas left ventricular ejection function (LVEF) and left ventricular fractional shortening (LVFS) showed a temporary decrease in early postoperative stage and then improved gradually. Conclusion: Heart valve surgery performed in an experienced center, along with sophisticated perioperative management, could bring satisfying early outcomes to patients with severe dilated left ventricle.

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