Efficacy and Safety of Beating Heart Mitral Valve Replacement

Mohd Lateef  Wani; Abdul Gani  Ahangar; Shyam  Singh; Ifat  Irshad; Nayeem  ul-Hassan; Shadab  Nabi Wani; Farooq Ahmad  Ganie; Mohd Akbar  Bhat

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Efficacy and Safety of Beating Heart Mitral Valve Replacement

Author(s):

Mohd Lateef Wani^1,*,

Abdul Gani Ahangar¹,

Shyam Singh¹,

Ifat Irshad²,

Nayeem ul-Hassan¹,

Shadab Nabi Wani¹,

Farooq Ahmad Ganie¹,

Mohd Akbar Bhat¹

1Department of Cardiovascular and Thoracic Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India

2Lal Ded Hospital, Srinagar, Kashmir, India

International Cardiovascular Research Journal:Vol. 8, issue 2; e12031

Published online:Jun 30, 2014

Article type:Research Article

Received:Apr 30, 2017

Accepted:Jan 22, 2014

How to Cite:Mohd Lateef WaniAbdul Gani AhangarShyam SinghIfat IrshadNayeem ul-HassanShadab Nabi WaniFarooq Ahmad GanieMohd Akbar Bhatet al.Efficacy and Safety of Beating Heart Mitral Valve Replacement.Int Cardiovasc Res J.8(2):e12031.

Abstract

Background: The interest in beating heart surgery is growing since better results can be obtained with this procedure compared to conventional myocardial protection techniques using cardioplegic solutions. This led us to consider mitral valve replacement with beating heart.

Objectives: This study aimed to determine the safety and efficacy of beating heart mitral valve replacement without cross clamp.

Methods: This prospective study was conducted on the patients with isolated mitral valve disease requiring mitral valve replacement according to ACC / AHA guidelines. In this study, 15 patients underwent mitral valve replacement using beating heart technique (Group A) and 15 ones underwent mitral valve replacement using arrested heart technique (Group B). The patients were randomized using block randomization. The data were analyzed using the SPSS statistical software.

Results: Preoperative parameters were comparable in the two groups. Most of the patients in both study groups were in NYHA class III or IV. Postoperatively, however, most of the patients in the two groups were either in NYHA class I or II. No mortality occurred in the beating heart group, while one mortality occurred in the arrested heart group. The results showed a significant difference between the two groups regarding the mean bypass time, mean operating time, mean ICU stay, and mean length of hospital stay.

Conclusions: Beating heart mitral valve replacement is equally safe as the arrested heart technique. Thus, it is recommended as an appropriate alternative to the arrested heart technique for mitral valve replacement.

Keywords

Mitral Valve

Beating Heart

Heart Arrest

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