OUTCOME AFTER AORTIC VALVE REPLACEMENT IN PATIENTS WITH SEVERE AORTIC STENOSIS WITH LEFT VENTRICLULAR DYSFUNCTION

Dr Prashant Mishra; Dr Chaitayna Raut

Volume : V, Issue : IX, September - 2016

OUTCOME AFTER AORTIC VALVE REPLACEMENT IN PATIENTS WITH SEVERE AORTIC STENOSIS WITH LEFT VENTRICLULAR DYSFUNCTION

Dr Prashant Mishra, Dr Chaitayna Raut

Abstract :

Severe Aortic Stenosis (AS) With Left Ventricular Dysfunction Has A Poor Prognosis. The Average Life Expectancy Being Of Less Than 2 Years Without Surgical Correction.: The Aim Of This Study Was To Assess The Effects Of Aortic Valve Replacement (AVR) On The Recovery Of Left Ventricular Function And The Predictors Of Five Year Survival In Patients Suffering From Isolated Severe Aortic Stenosis (AS) With A Significant Left Ventricular Dysfunction (LVD).In This Retrospective Study Which Was Conducted On 92 Patients With Isolated Severe AS And LVD (Left Ventricular Ejection Fraction (LVEF) ≤ 40% )Who Underwent AVR In Our Hospital Between January 2006 And January2011 ,Different Variables Were Analyzed And Result Shows That Preoperative NYHA Functional Class ≥3 Was Found To Be Predictive Of Early Mortality. A Positive Change Was Observed In The LVEF And Mean LVEF Increased Significantly. Hazards Regression Analysis Demonstrated Diabetes Mellitus And Intraaortic Balloon Pump Use As Significant Predictors For Late Mortality