Concomitant aortic regurgitation is a predictor of outcome after surgical aortic valve replacement in patients with severe aortic stenosis

Prashant Mishra; Chandan Kumar Ray Mohapatra; Jayant V Khandekar; Chaitanya Raut; Harsh S Seth; Ganesh Kumar K Ammannaya; Jaskaran Singh; Vaibhav Shah

Article Details

Concomitant aortic regurgitation is a predictor of outcome after surgical aortic valve replacement in patients with severe aortic stenosis

Authors:

Prashant Mishra | Chandan Kumar Ray Mohapatra | Jayant V Khandekar | Chaitanya Raut | Harsh S Seth | Ganesh Kumar K Ammannaya | Jaskaran Singh | Vaibhav Shah

Publisher:

Eldaghayes Publisher, Tripoli, Libya

Main Topics:

Aortic Stenosis (AS) | Aortic Regurgitation (AR) | Aortic Valve Replacement (AVR)

Journal:

International Journal of Medical Science and Public Health Vol.6 Issue 2, pp.314-314

Document Type:

Article

Publication Date:

11/2016

Document Language:

English

Document ID (Org No.):

2001522308

pISSN:

2320-4664

Keywords:

Abstract:

 Background: Concomitant aortic regurgitation (AR) might worsen the prognosis of severe aortic stenosis (AS). But the prognostic value of concomitant AR in patients operated for severe AS is not addressed.
 
 Objective: The aim of this study was to assess the impact and association of presence and severity of concomitant AR in patients operated for severe AS on long-term left ventricular (LV) function, functional capacity, and mortality.
 
 Materials and Methods: Study group consisted of 200 patients operated due to severe AS retrospectively. The patients were divided into AS group (100 patients with AS without AR or with mild AR) and AS+AR group (100 patients with AS and moderate, severe or very severe AR). Follow-up included a clinical examination and echocardiography 530 months after AVR.
 
 Result: Patients in AS group had improved symptoms than AS+AR group. The patients with postoperative follow-up in AS group had lower LV volume indices than patients in AS+AR which was statistically significant(AS group; LVEDVi - 67±9.1, LVESVi - 22±7.2 compare to AS+AR group; LVEDVi - 84±21.3, LVESVi - 34±11, p-value< 0.05). Postoperative mean LVEF was 61±11 and 58±12 in AS and AS+AR group, respectively. 
 
 Conclusion: Our study indicates that the preoperative presence and severity of concomitant AR has an impact on the outcome after aortic valve replacement for the patients having severe aortic stenosis symptoms on the basis of symptoms, LV remodeling, systolic and diastolic function.

Article Details

Concomitant aortic regurgitation is a predictor of outcome after surgical aortic valve replacement in patients with severe aortic stenosis

Authors: Prashant Mishra | Chandan Kumar Ray Mohapatra | Jayant V Khandekar | Chaitanya Raut | Harsh S Seth | Ganesh Kumar K Ammannaya | Jaskaran Singh | Vaibhav Shah

Publisher: Eldaghayes Publisher, Tripoli, Libya

Main Topics: Aortic Stenosis (AS) | Aortic Regurgitation (AR) | Aortic Valve Replacement (AVR)

Journal: International Journal of Medical Science and Public Health Vol.6 Issue 2, pp.314-314

Document Type: Article

Publication Date: 11/2016

Document Language: English

Document ID (Org No.): 2001522308

pISSN: 2320-4664

Aortic Stenosis (AS)

Aortic Regurgitation (AR)

Aortic Valve Replacement (AVR)

Issues

Authors:

Prashant Mishra | Chandan Kumar Ray Mohapatra | Jayant V Khandekar | Chaitanya Raut | Harsh S Seth | Ganesh Kumar K Ammannaya | Jaskaran Singh | Vaibhav Shah

Publisher:

Eldaghayes Publisher, Tripoli, Libya

Main Topics:

Aortic Stenosis (AS) | Aortic Regurgitation (AR) | Aortic Valve Replacement (AVR)

Journal:

International Journal of Medical Science and Public Health Vol.6 Issue 2, pp.314-314

Document Type:

Article

Publication Date:

11/2016

Document Language:

English

Document ID (Org No.):

2001522308

pISSN:

2320-4664