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Aortic Prosthesis - Patient Mismatch as a Risk Factor on Regression of Left Ventricular Mass. عدم تطابق الصمام الأورطى الاصطناعى مع المريض كعامل خطر على تراجع كتلة البطين الأيسر.
Faculty
Medicine
Year:
2022
Type of Publication:
ZU Hosted
Pages:
Authors:
Tamer Saliem Mohamed Elawady
Staff Zu Site
Abstract In Staff Site
Journal:
Zagazig University Medical Journal محلي Zagazig University, Faculty of Medicine
Volume:
Keywords :
Aortic Prosthesis , Patient Mismatch , , Risk Factor
Abstract:
Objective: Prosthesis-patient mismatch (PPM) of the aortic prosthesis is frequent trouble following aortic valve replacement (AVR). The residual high transprosthetic pressure gradient (PG) could interrupt left ventricular mass regression (LVMR). The purpose of this study was to assess the frequency of PPM as well as its impact on LVMR postoperatively. Methods: 106 patients were prospectively evaluated after AVR for aortic stenosis (AS) from Jan 2016 to Dec 2021. Patients were classified into three groups based on the effective orifice area index (EOAI) (cm2 /m2 ); Group A (≥0.85), B (0.8-0.84), and C (< 0.8). Follow-up of LVMR was performed postoperatively on all patients after six months. Results: We didn’t record significant changes in basic data among studied groups away from the basal surface area, which was substantially higher in group C (Mean 2.4, P<0.001). The PPM incidence was observed in 30 survivors (28.3%); 12 survivors in group B and 18 survivors in group C. All groups showed a substantial reduction in posterior wall thickness (P<0.001). However, a significant decrease in peak and mean PG, LVM index, and diameter of the interventricular septum was only observed in groups A and B. Conclusions: PPM with EOAI below 0.85 cm2 /m2 leads to high residual transprosthetic PG and subsequent impairment in LVMR. Therefore, meticulous choosing of the valve size with the availability of alternative options could prevent PPM squeal. Keywords: Aortic valve replacement, Patient prosthesis mismatch, Prosthesis, LV, PPM
Author Related Publications
Tamer Saliem Mohamed Elawady, "Early and Late Management of Non-penetrating Traumatic Thoracic Tracheobronchial Injuries. التدبير العلاجى المبكر والمتأخر لإصابات القصبة والشعب الهوائية الصدرية غير المخترقة", محلي Al-Azhar University (Assiut Branch), 2013
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Tamer Saliem Mohamed Elawady, "A - 13 Years of Single-Center Experience in the Management and Outcome of Esophageal Perforation. ثلاثة عشر عامًا من الخبرة في مركز واحد في التدبير العلاجى ونتائج انثقاب المريء.", محلي Zagazig University, Faculty of Medicine, 2022
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Tamer Saliem Mohamed Elawady, "Is right lateral mini-thoracotomy preferable to intermediate sternotomy in mitral valve surgery? هل يُفضل شق الصدر الجانبي الأيمن الصغير على شق القص المتوسط في جراحة الصمام الميترالي؟", محلي Zagazig University, Faculty of Medicine, 2022
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Tamer Saliem Mohamed Elawady, "Pleurodesis Using Bleomycin Ampoules, Doxycycline Capsules, and Povidone Iodine Solution in Patients with Malignant Pleural Effusion in Zagazig University Hospitals. التصاق الجنب باستخدام أمبولات بلوميسين وكبسولات دوكسيسيكلين ومحلول بوفيدون اليود في مرضى الانصباب الجنبي الخبيث في مستشفيات جامعة الزقازيق.", محلي Zagazig University, Faculty of Medicine, 2022
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Tamer Saliem Mohamed Elawady, "Evolving Fibrinolytic Option in the Management of Second Stage of Empyema. التطورفى خيار مذيبات الفبرين في علاج المرحلة الثانية من الانسكاب البلورى الصديدى.", محلي Zagazig University, Faculty of Medicine, 2022
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Department Related Publications
Mohamed Mamdouh Abdalraouf ElShaarawy, "16- Endoventricular plasty in management of left ventricular aneurysm", لايوجد, 1900
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Mohamed Mamdouh Abdalraouf ElShaarawy, "25- Total mitral valve reservation in mitral replacement for mitral regurgitation.", لايوجد, 1900
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Mohamed Mamdouh Abdalraouf ElShaarawy, "28- Pulmonary function tests affer operative stablization of flail chest", لايوجد, 1900
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Ali Mohamed Refat Ali Soliman, "Primary bony chest wall tumors. Experience in one center", egyptian society for cardiothoracic surgery, 2013
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Mohammed Abdalsadeg Mouhmed, "Fate of Moderate Tricuspid Regurgitation after Rheumatic Mitral Valve Surgery.", zagzig uniersity, 2004
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