PMID- 17590744
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20121002
LR  - 20190507
IS  - 0256-4947 (Print)
IS  - 0256-4947 (Linking)
VI  - 13
IP  - 6
DP  - 1993 Nov
TI  - Heart valve surgery in a young predominantly rheumatic population.
PG  - 501-7
AB  - Between August 1988G and August 1992G, 802 Saudi patients underwent 1,171 open 
      valve surgical procedures at King Faisal Specialist Hospital and Research Centre 
      (KFSH&RC). The mean age was 32.4 years (range one to 90). The etiology was 
      rheumatic in 66.3%, congenital in 12.8%, degenerative in 8.7%, infective in 5.9% 
      and ischemic in 2%. The mean preoperative New York Heart Association (NYHA) 
      functional class was 2.94 and 74% of the patients were in sinus rhythm. Multiple 
      valve procedures were required in 39.4% of the cases and 718 valves (64.6%) were 
      repaired. The overall hospital mortality was 4.48%. The mortality for isolated 
      mitral valve repair was 1.8% against 3.48% for replacement. For isolated aortic 
      repair, it was 0 against 8.5% for replacement. The follow-up of our patients was 
      98.1%. During the follow-up period of 1,171.06 patient years, the total incidence 
      of thromboembolic events was 2.35% or 1.53% pt-yrs. Reoperation was required in 
      7.3% of the patients. The main cause was dysfunction of the rheumatic mitral 
      repairs in the young patients. The late mortality was 3.78%. The actuarial 
      survival for the total 802 operated patients was 86.27%. This survival was 91.10% 
      for those undergoing repair versus 82.10% for those with replacement (P<0.005). 
      It is concluded that a careful and complete follow-up of our patients is 
      essential to determine the value of the available surgical techniques. The young 
      rheumatic patient, so prevalent in our population, remains a surgical challenge. 
      New surgical alternatives are needed.
FAU - Duran, C M
AU  - Duran CM
AD  - Department of Cardiovascular Diseases and Department of Polyclinics/Emergency, 
      King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
FAU - Gometza, B
AU  - Gometza B
FAU - Saad, E
AU  - Saad E
FAU - Al-Halees, Z
AU  - Al-Halees Z
FAU - Khouqeer, F
AU  - Khouqeer F
FAU - Al-Sanei, A
AU  - Al-Sanei A
LA  - eng
PT  - Journal Article
PL  - Saudi Arabia
TA  - Ann Saudi Med
JT  - Annals of Saudi medicine
JID - 8507355
EDAT- 1993/11/01 00:00
MHDA- 1993/11/01 00:01
CRDT- 1993/11/01 00:00
PHST- 1993/11/01 00:00 [pubmed]
PHST- 1993/11/01 00:01 [medline]
PHST- 1993/11/01 00:00 [entrez]
AID - 13-501 [pii]
AID - 10.5144/0256-4947.1993.501 [doi]
PST - ppublish
SO  - Ann Saudi Med. 1993 Nov;13(6):501-7. doi: 10.5144/0256-4947.1993.501.