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Mid-Term Outcome after Aortic Valve Replacement in Tertiary hospital |
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| รหัสดีโอไอ | |
| Creator | 1. Sira Laohathai 2. Montien Ngodngamtaweesuk 3. Piya Samankatiwat |
| Title | Mid-Term Outcome after Aortic Valve Replacement in Tertiary hospital |
| Publisher | Text and Journal Publication |
| Publication Year | 2563 |
| Journal Title | Vajira Medical Journal |
| Journal Vol. | 64 |
| Journal No. | 6 |
| Page no. | 381-388 |
| Keyword | aortic valve replacement, cardiac surgery |
| URL Website | https://tci-thaijo.org/index.php/VMED |
| Website title | Vajira Medical Journal (วชิรเวชสาร) |
| ISSN | 0125-1252 |
| Abstract | Background: Surgical aortic valve replacement (SAVR) is a standard procedure for symptomatic aortic valve disease, however, there was a limited data about this procedure in Thailand especially in terms of long-term outcomes. This study aims to present mid-term results after aortic valve replacement as a single institution. Methods: A retrospective cohort study was conducted. All 112 consecutive patients who underwent isolated SAVR at Ramathibodi hospital between 2010 2015 were enrolled in this study. Patient characteristics, operative procedures, perioperative complications and postoperative outcomes were retrospectively reviewed from medical recording system. The endpoints were overall survival at 30 days, 1 years and 5 years, peri-operative and valve-related complications. Results: There was 112 patients. Seventy-eight (69%) patients were male. Median age was 66 (IQR 14-87). Median follow-up period was 36 months (IQR 24-60). The most common pre-operative clinical symptoms were congestive heart failure followed by myocardial infarction and angina pectoris. The majority of pathology was degenerative aortic stenosis. Median of Euroscore was 1.5% (0.5-7%). Thirty-day, one-year and three-year survival of isolated SAVR was 98, 96 and 96 % respectively. There were 4.4 % of the patients who required a permanent pacemaker and stroke rate was 1.8%. In subgroup analysis, there was no difference in overall survival between age < 60 and more than 60 years old. (P=0.67) Conclusion: An isolate aortic valve replacement is a safe procedure with a low post-operative complication and also demonstrate a good long-term outcome. |
