Beating heart valve surgery in patients with low left ventricular ejection fraction

Francisco Igor B Macedo; Enisa M Carvalho; Mohammed Hassan; Marco Ricci; Edward Gologorsky; Tomas A Salerno

doi:10.1111/j.1540-8191.2010.01000.x

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$Beating heart valve surgery in patients with low left ventricular ejection fraction$

Journal article

Peer reviewed

Beating heart valve surgery in patients with low left ventricular ejection fraction

Francisco Igor B Macedo, Enisa M Carvalho, Mohammed Hassan, Marco Ricci, Edward Gologorsky and Tomas A Salerno

Journal of cardiac surgery, Vol.25(3), pp.267-271

05/2010

DOI: 10.1111/j.1540-8191.2010.01000.x

PMID: 20202035

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Abstract

Patients with very low left ventricular ejection fraction (LVEF) are at high risk for valve surgery. We herein present our experience with beating heart valve surgery in such patients. From May 2000 to October 2006, 346 consecutive patients underwent beating heart valve surgery. Of these, 50 patients had LVEF <30%: 7 had LVEF 21 to 29%, 34 had LVEF <20%, and 9 had LVEF <10%. Mean age was 57.44 +/- 12.45 years (range 28 to 85 years). There were 40 males (80%) and 10 females (20%). Isolated mitral valve (MV) and aortic valve replacements were performed in 11 (22%) and 10 (20%) of patients, respectively. Fourteen (28%) patients underwent combined coronary artery bypass grafting and valve replacements. MV repairs were performed; 13 (26%) patients and 2 (4%) patients had combined MV replacements and tricuspid repairs. Mean hospital stay was 15.37 +/- 13.12 days (range 3 to 55 days). Overall early mortality (<30 days) was 6% (three patients) and one patient (2%) died late (>30 days). Beating heart valve surgery in patients with poor LVEF yields results similar to conventional surgery using cardioplegia. Additional studies are needed to fully evaluate the potential benefits of this method of myocardial perfusion for this high-risk group of patients.

Ventricular Function, Left

United States

Humans

Middle Aged

Male

Mitral Valve - surgery

Heart Valve Diseases - surgery

Aortic Valve - surgery

Aortic Valve - pathology

Tricuspid Valve - surgery

Aged, 80 and over

Heart Valve Diseases - mortality

Adult

Female

Length of Stay

Hospital Mortality

Risk Assessment

Heart Valve Prosthesis

Risk Factors

Treatment Outcome

Stroke Volume

Tricuspid Valve - pathology

Coronary Artery Bypass

Heart Arrest, Induced

Aged

Mitral Valve - pathology

Details

Title: Subtitle: Beating heart valve surgery in patients with low left ventricular ejection fraction
Creators: Francisco Igor B Macedo - Division of Cardiothoracic Surgery, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, Florida 33136, USA
Enisa M Carvalho
Mohammed Hassan
Marco Ricci
Edward Gologorsky
Tomas A Salerno
Resource Type: Journal article
Publication Details: Journal of cardiac surgery, Vol.25(3), pp.267-271
Publisher: United States
DOI: 10.1111/j.1540-8191.2010.01000.x
PMID: 20202035
ISSN: 0886-0440
eISSN: 1540-8191
Language: English
Date published: 05/2010
Academic Unit: Surgery; Cardiothoracic Surgery
Record Identifier: 9984051586502771

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15 Times Cited - Web of Science