Efficacy and Safety of Beating Heart Mitral Valve Replacement

Author(s):
Mohd Lateef  WaniMohd Lateef Wani1,*, Abdul Gani  AhangarAbdul Gani Ahangar1, Shyam  SinghShyam Singh1, Ifat  IrshadIfat Irshad2, Nayeem  ul-HassanNayeem ul-Hassan1, Shadab  Nabi WaniShadab Nabi Wani1, Farooq Ahmad  GanieFarooq Ahmad Ganie1, Mohd Akbar  BhatMohd Akbar Bhat1
1Department of Cardiovascular and Thoracic Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India
2Lal Ded Hospital, Srinagar, Kashmir, India
*Corresponding Author: Corresponding author: Mohd Lateef Wani, Department of Cardiovascular and Thoracic Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India Email: [email protected]

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: Wani ML, Ahangar AG, Singh S, Irshad I, ul-Hassan N, et al. Efficacy and Safety of Beating Heart Mitral Valve Replacement. Int Cardiovasc Res J. 2017;8(2):e12031. doi:

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.

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Copyright

© 2017, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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