排序方式: 共有26条查询结果,搜索用时 15 毫秒
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V Devagourou M. Ch. SK Choudhary M.Ch. A Bhan M. Ch. R Sharma M. Ch. B Airan M. Ch. P Venugopal M. Ch. Dr. A Sampath Kumar M. Ch. 《Indian Journal of Thoracic and Cardiovascular Surgery》2002,18(2):80-83
Background: Aortic valve replacement with mechanical valves is associated with a small but constant risk of valve thrombosis and thromboembolic
and hemorrhagic complications. The surgical outcome of patients with Aortic Stenosis who had aortic valve replacement with
mechanical valves is reported here.
Methods: Between January 1990 and October 1999, 275 patients underwent prosthetic valve replacement for isolated aortic stenosis.
The age ranged between 13 years and 75 years and 230 were males. The cause of aortic stenosis was rheumatic in 185 patients
(67.3%), followed by bicuspid aortic valve in 75 patients (27.3%) and degenerative in 15 patients (5.4%).
Results: The early mortality was 1.5%. The follow up was 96% complete and ranged from 1 to 104 months (mean 54±24.5months). Six patients
(2.2%) developed prosthetic valve endocarditis. Paravalvular leak occurred in 3 (0.9%) patients. Valve thrombosis occurred
in 10 patients (1.0% per patient year). The actuarial survival was 81±7% at 5 years and 64±13% at 8 years. Event free survival
was 40±14% at 8 years.
Conclusion: With current operative techniques and myocardial preservation aortic stenosis patients are at low risk for surgery. However,
long term survival is limited due to prosthesis related complications. 相似文献
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Arvind Kumar Bishnoi Sachin Talwar Shiv Kumar Choudhary Milind Hote Velayoudham Devagourou Anita Saxena Shyam Sunder Kothari Rajnish Juneja Balram Airan 《Indian Journal of Thoracic and Cardiovascular Surgery》2008,24(4):227-232
Back ground Modified Blalock-Taussig shunt is an important initial palliation in a selected subset of patients. This randomized controlled
study was conducted to evaluate and compare PTFE and homograft saphenous vein as a conduit for this purpose.
Patients and Methods Thirty patients were prospectively randomized to receive either a Polytetrafluoroethylene (PTFE) or an antibiotic preserved
homograft saphenous vein as conduit. Early results were analysed and compared.
Results Mean graft size was 3.93 mm±0.53 and 4.2 mm±0.53 in the PTFE and vein group respectively. There were 3 hospital deaths in
the vein group and none in the PTFE group. There were 2 early and no late shunt thromboses in PTFE group while 1 early and
2 late thrombosis occurred in vein group. These differences were statistically insignificant. The incidence of post-operative
bleeding, peri-graft seroma and operative time was less in vein then PTFE group. Palliation on follow-up was comparable in
both groups.
Conclusion This study failed to demonstrate any benefit of homograft saphenous vein over PTFE graft in terms of thrombotic complications
and mortality. There was however less bleeding and peri-graft seroma formation in the Saphenous vein (SVG) group. Further
studies with greater number of patients and longer follow-up are required to demonstrate the superiority of either of these
conduits. 相似文献
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Peter Zilla Magdi Yacoub Liesl Zühlke Friedhelm Beyersdorf Karen Sliwa Gennadiy Khubulava Abdelmalek Bouzid Ana Olga Mocumbi Devagourou Velayoudam Devi Shetty Chima Ofoegbu Agneta Geldenhuys Johan Brink Jacques Scherman Henning du Toit Saeid Hosseini Hao Zhang Xin-Jin Luo David F. Williams 《Global Heart》2018,13(4):293-303
More than 6 billion people live outside industrialized countries and have insufficient access to cardiac surgery. Given the recently confirmed high prevailing mortality for rheumatic heart disease in many of these countries together with increasing numbers of patients needing interventions for lifestyle diseases due to an accelerating epidemiological transition, a significant need for cardiac surgery could be assumed. Yet, need estimates were largely based on extrapolated screening studies while true service levels remained unknown. A multi-author effort representing 16 high-, middle-, and low-income countries was undertaken to narrow the need assessment for cardiac surgery including rheumatic and lifestyle cardiac diseases as well as congenital heart disease on the basis of existing data deduction. Actual levels of cardiac surgery were determined in each of these countries on the basis of questionnaires, national databases, or annual reports of national societies. Need estimates range from 200 operations per million in low-income countries that are nonendemic for rheumatic heart disease to >1,000 operations per million in high-income countries representing the end of the epidemiological transition. Actually provided levels of cardiac surgery range from 0.5 per million in the assessed low- and lower-middle income countries (average 107 ± 113 per million; representing a population of 1.6 billion) to 500 in the upper-middle-income countries (average 270 ± 163 per million representing a population of 1.9 billion). By combining need estimates with the assessment of de facto provided levels of cardiac surgery, it emerged that a significant degree of underdelivery of often lifesaving open heart surgery does not only prevail in low-income countries but is also disturbingly high in middle-income countries. 相似文献