AORTIC VALVE REPLACEMENT: CONVENTIONAL VERSUS AUTHORS' OFFERED METHOD

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RADMEHR H.; TATARI H.; SALEHI MEHRDAD; BAKHSHANDEH A.R.

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Journal: Tehran University Medical Journal Year:2009 | Volume:66 | Issue:12 Page(s): 907-912

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Title

AORTIC VALVE REPLACEMENT: CONVENTIONAL VERSUS AUTHORS' OFFERED METHOD

Author(s)

RADMEHR H. | TATARI H. | SALEHI MEHRDAD | BAKHSHANDEH A.R. | Issue Writer Certificate

Keywords

PERICARDIUMQ3

ALLOGRAFTQ3

ROSSQ3

CARDIAC SURGERYQ3

AORTIC VALUEQ3

AORTIC INSUFFICIENCYQ3

REPLACEMENTQ3

Abstract

Background: The usage of PERICARDIUM of patient himself, for support of anastomosis lines may carry benefits in patients undergoing aortic valve REPLACEMENT with pulmonary autograft (Ross). The aim of the present study was to compare the short term results of aortic valve REPLACEMENT with pulmonary autograft with routine and offered methods.Methods: In a non-randomized clinical trial, 64 patients who referred to CARDIAC SURGERY ward of Imam Khomeini hospital Tehran Iran from December 2002 to December 2006 for aortic valve REPLACEMENT with pulmonary autograft with two different methods. In the first two years of this study all of the patients were operated with routine procedure (group A, n=28) and during the next two years, all of them were operated with authors' offered method in which the patient`s PERICARDIUM was used for support of anastomosis lines (group B, n=36). Some of clinical parameters and outcome were compared between two groups. Results: There were no significant differences between mean of age, sex, pathology, preoperative and postoperative EF in two groups. In group B, the mean pump time was significantly lower than group A (144.09±26 vs. 179.64±25 min). The mean Cross-clamp time was significantly lower in group B (118.5±22 vs. 136.93±19 min) Need for blood transfusion in ICU was significantly lower in group B (35.71% vs. 68.57%). Mean ICU Stay and Postoperative Hospital Stay were significantly lower in group B (1.3±0.3 vs. 1.9±0.7 and 5.2±0.9 vs. 5.9±1.5 days respectively). Overall mortality was four death (6.25%) which was not significant between two groups.Conclusions: The usage of patient's PERICARDIUM for support of anastomosis lines in patients undergoing aortic root REPLACEMENT with pulmonary autograft carry advantages to routine procedure and its utilization is advocated in other centers.

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APA: Copy

RADMEHR, H., TATARI, H., SALEHI, MEHRDAD, & BAKHSHANDEH, A.R.. (2009). AORTIC VALVE REPLACEMENT: CONVENTIONAL VERSUS AUTHORS' OFFERED METHOD. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 66(12), 907-912. SID. https://sid.ir/paper/38361/en

Vancouver: Copy

RADMEHR H., TATARI H., SALEHI MEHRDAD, BAKHSHANDEH A.R.. AORTIC VALVE REPLACEMENT: CONVENTIONAL VERSUS AUTHORS' OFFERED METHOD. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2009;66(12):907-912. Available from: https://sid.ir/paper/38361/en

IEEE: Copy

H. RADMEHR, H. TATARI, MEHRDAD SALEHI, and A.R. BAKHSHANDEH, “AORTIC VALVE REPLACEMENT: CONVENTIONAL VERSUS AUTHORS' OFFERED METHOD,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 66, no. 12, pp. 907–912, 2009, [Online]. Available: https://sid.ir/paper/38361/en

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