scholarly journals Acute care physical therapy management of a 69-year-old female following re-operative aortic valve replacement and tricuspid valve repair: A Case Report

2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Natalia Fernandez ◽  
Jennifer Blackwood
Keyword(s):  
Case Report ◽  
Physical Therapy ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Acute Care ◽  
Tricuspid Valve ◽  
Tricuspid Valve Repair ◽  
Valve Repair ◽  
Therapy Management

scholarly journals A Multi Center Experience: Is Valve Replacement Safe for Patients with Hugely Dilated Left Ventricle?

2019 ◽  
Vol 22 (6) ◽  
pp. E452-E455
Author(s):  
Ahmed Ahmed ◽  
Ahmed Toema ◽  
Ahmed Yehia ◽  
Yassin Hashim ◽  
Mohamed Elkahely ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Aortic Valve ◽  
Left Ventricle ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Tricuspid Valve ◽  
Tricuspid Valve Repair ◽  
Valve Repair ◽  
Double Valve Replacement

Background: Dilated left ventricle occurs in chronic aortic and mitral regurgitations. We describe the early outcome of mitral and aortic valve replacement for patients with severely dilated left ventricle in different surgical interventions. Methods: From March 2014 to December 2018, 620 patients with left ventricular end-diastolic diameter (LVEDD) of ≥ 70 mm underwent valve replacement procedures in 8 cardiac surgery centers in Egypt. One hundred ninety four cases (31.3%) underwent aortic valve replacement, 173 cases (27.9%) underwent mitral valve replacement, 123 cases (19.9%) underwent double valve replacement, 59 cases (9.5%) underwent double valve replacement with either tricuspid valve repair or replacement, 33 cases (5.3%) underwent mitral valve replacement with either tricuspid valve repair or replacement, 20 cases (3.2%) underwent mitral valve replacement with CABG, 10 cases (1.6%) underwent aortic valve replacement with CABG, while 8 cases (1.3%) underwent aortic valve replacement with ascending aortic aneurysm repair. Results: Four patients (0.6%) developed new postoperative renal failure, which required dialysis. Twenty-nine patients (4.7%) required reoperation for bleeding. One patient (0.2 %) developed sternal dehiscence. Five patients (0.8%) postoperatively developed stroke. Twenty-five patients (4%) died, and the main causes of death were low cardiac output and sepsis with eventual multi-organ failure. Conclusion: Valve replacement in patients with hugely dilated left ventricle are safe operations with satisfactory outcomes even if combined with other procedures, especially with proper preoperative preparation, intraoperative preservation of posterior mitral leaflet, and meticulous postoperative follow up in the surgical ICU.

scholarly journals Influence of suture technique in aortic valve replacement on occurrence of "Prosthesis-Patient" mismatch

2021 ◽  
Vol 37 (6) ◽  
pp. 81-88
Author(s):  
B. K. Kadyraliev ◽  
V. B. Arutyunyan ◽  
S. V. Kucherenko ◽  
E. A. Gorbunova
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Artery Bypass ◽  
Mechanical Valve ◽  
Suture Technique ◽  
Tricuspid Valve Repair ◽  
Elderly Persons ◽  
Frequency Of Occurrence ◽  
Valve Repair

Objective. To determine the suture technique, which provides better hemodynamic indices in aortic valve replacement. Aortic valve AV) pathology is a widespread pathology among elderly persons and since the share of them increases every year, the number of surgeries for AV replacement is growing. Many factors can influence the hemolytic characteristics of AV prosthesis including construction of cusps and supporting ring. Suture technique can also influence the hemodynamic results of AV replacement. Conventional technique for attaching mechanical valve is an interrupted sealing suture. Materials and methods. Patients who underwent AV prosthetics isolated prosthetics, prosthetics combined with coronary artery bypass grafting, with mitral valve repair, tricuspid valve repair or aortic prosthetics) over the period from January 2015 to September 2018 were studied. All statistical calculations were fulfilled using IBM SPSS Statistics 23.0 IBM Corp., Armonk, NY). Results. Altogether, from January 2015 to September 2018, 439 patients underwent AV prosthetics; 321 patient 73.1 %) underwent isolated AV replacement. Unsealed technique had less frequency of occurrence of prosthesis-patient" mismatch PPM), especially in the small aortic ring compared with the other suturing techniques. The suture type was the following: sealing and figure-of-eight suture and the number of sutures more than 16 were the risk factors for moderate and severe PPM in logistic regressive analysis; the suture technique was an independent risk factor for moderate and severe PPM. Conclusions. An interrupted mattress unsealed suture permits to implant the AV prosthesis on the native fibrous ring of the valve with less frequency of occurrence of prosthesis-patient" mismatch and promotes improvement of hemodynamics in patients with a small fibrous ring of the aortic valve.

Emergency Aortic Valve Replacement Combined with Liver and Kidney Transplantation: Case Report and Literature Review

2019 ◽  
Vol 33 (10) ◽  
pp. 2763-2769
Author(s):  
Edward Gologorsky ◽  
Kiumars Ranjbar Tabar ◽  
Kelly Krupa ◽  
Stephen Bailey ◽  
Subbarao Elapavaluru ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Case Report ◽  
Aortic Valve ◽  
Literature Review ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Liver And Kidney

scholarly journals AORTIC VALVE REPLACEMENT AFTER RETROSTERNAL GASTRIC TUBE RECONSTRUCTION FOR ESOPHAGEAL CANCER-A CASE REPORT-

2011 ◽  
Vol 72 (3) ◽  
pp. 627-629 ◽  
Author(s):  
Masanori HARA ◽  
Takeshiro FUJII ◽  
Noritsugu SHIONO ◽  
Hiroshi MASUHARA ◽  
Nobuya KOYAMA ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Case Report ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Gastric Tube ◽  
Gastric Tube Reconstruction
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