Early Results Of Surgical Intervention In Patients With Malfunction Prothetic Cardiac Valves
Elghanam, M., Gamil, E., Sharaa, M., ElMoaty, H. (2644). Early Results Of Surgical Intervention In Patients With Malfunction Prothetic Cardiac Valves. EKB Journal Management System, 2023(1), -. doi: 10.58675/2682-339X.1875
Mohamed Ahmed Shaban Elghanam; El-Husseiny El-Husseiny Gamil; Mohammed Eldesoky Sharaa; Haythm Mohamed Abd ElMoaty. "Early Results Of Surgical Intervention In Patients With Malfunction Prothetic Cardiac Valves". EKB Journal Management System, 2023, 1, 2644, -. doi: 10.58675/2682-339X.1875
Elghanam, M., Gamil, E., Sharaa, M., ElMoaty, H. (2644). 'Early Results Of Surgical Intervention In Patients With Malfunction Prothetic Cardiac Valves', EKB Journal Management System, 2023(1), pp. -. doi: 10.58675/2682-339X.1875
Elghanam, M., Gamil, E., Sharaa, M., ElMoaty, H. Early Results Of Surgical Intervention In Patients With Malfunction Prothetic Cardiac Valves. EKB Journal Management System, 2644; 2023(1): -. doi: 10.58675/2682-339X.1875

Early Results Of Surgical Intervention In Patients With Malfunction Prothetic Cardiac Valves

Al-Azhar International Medical Journal
Volume 2023, Issue 1, January 2023  XML
DOI: 10.58675/2682-339X.1875
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Authors
Mohamed Ahmed Shaban Elghanam1; El-Husseiny El-Husseiny Gamil2; Mohammed Eldesoky Sharaa2; Haythm Mohamed Abd ElMoaty3
1assistant lecture of cardiothoracic surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2Professor of cardiothoracic surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
3Lecture of cardiothoracic surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Abstract
Background:After their insertion, prosthetic valves—either mechanical or biological—have some drawbacks. There are many challenging events that lead to dysfunction of prothesis, such as formation of a thrombus or pannus, para-valvular leakage, and developing cardiac infections after the prosthesis, like endocarditis. Objective:to assess factors that are responsible for malfunction of prosthetic cardiac valves;in addition, assessment of post-operative mortality and morbidity of those patients. Patient and methods:In this prospective study, we followed up the early results of surgical intervention in 40 patients with malfunction prosthetic cardiac valves at the Cardiothoracic Surgery Department, El-Hussien Hospital, Al-Azhar University;the follow-up timespan was from March 2019 till May 2022. Results: We reported the causative eventsofprostheticvalves malfunctionas the following:Thrombus formation was reportedin 25% of the total patients included in the study, while thrombus and pannus were reported in 37.5%. Pannus only was reported in 30% of the total patients included in the study. The calculated overall mortality for patients who suffered from prosthesis’malfunction,which mandatedre-replacement of valve, was 7 out of 40 patients (17.5%). Conclusion:We concluded that the majorcomplication that leads to failure of mechanical valve prosthesisis formation of boththrombus and pannus;surgical management is associatedwithsignificantmortalityandmorbidity.Hence, better clinical outcomes can be achieved by both early diagnosis and prompt reoperation
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