tailieunhanh - Assessment of clinical, paraclinical and surgical characteristics of patients received mitral valve replacement with St.Jude valves at 108 military central hospital

Objectives: To review some clinical, paraclinical and surgical characteristics of patients received mitral valve replacement with mechanical valve (SJM) at 108 Military Central Hospital. Subjects and methods: 122 patients received mitral valve replacement with SJM. Clinical and paraclinical criteria based on the criteria of the Vietnam National Heart Association and ACC/AHA guidelines. | Journal of military pharmaco-medicine n08-2017 ASSESSMENT OF CLINICAL, PARACLINICAL AND SURGICAL CHARACTERISTICS OF PATIENTS RECEIVED MITRAL VALVE REPLACEMENT WITH VALVES AT 108 MILITARY CENTRAL HOSPITAL Do Xuan Hai*; Hoang Quoc Toan**; Mai Van Vien** Nguyen Van Nam***; Nguyen Truong Giang* SUMMARY Objectives: To review some clinical, paraclinical and surgical characteristics of patients received mitral valve replacement with mechanical valve (SJM) at 108 Military Central Hospital. Subjects and methods: 122 patients received mitral valve replacement with SJM. Clinical and paraclinical criteria based on the criteria of the Vietnam National Heart Association and ACC/AHA guidelines. Results: Anamnesis of rheumatic fever was , NYHA II and III were 100%, thickening sticky and calcification of mitral valve and ligament injury were over 74%. Sinus rhythm and thrombosis were about 30%. The valve size 29 and 31 were mostly used (). The mean aortic cross-clamp time and operative time were ± minutes and ± minutes. Conclusion: The main clinical features of mitral valve disease include exertional dyspnea, chest pain, atrial fibrillation. The causes of valve injury were due to rheumatic fever mainly thickening sticky, calcification and shrinkage ligament. The 29 size SJM was the most used valves which accouned for more than 50% of all valve replacement cases. * Keywords: Mitral valve; Mitral valve replacement; Saint Jude mechanical valve; Characteristics. INTRODUCTION Mitral valve is located between two left chambers of heart and keeping blood flowing properly in one direction from the left atrium to the left ventricle [6]. According to the studies, mitral valve disease accounts for 40% of heart valve disease cases and if left untreated, severe cases can lead to heart failure or irregular heartbeats, called arrhythmias, which may be life-threatening [4, 5]. Mitral valve replacement with a mechanical valve are still very effective.