Impact of left ventricular dysfunction on outcome in aortic stenosis patients after aortic valve replacement
Affiliations
- PMID: 15679276
Item in Clipboard
Impact of left ventricular dysfunction on outcome in aortic stenosis patients after aortic valve replacement
J Extra Corpor Technol.
2004 Dec.
Abstract
Surgical treatment for aortic stenosis includes aortic valve replacement, which alleviates symptoms and increases longevity. The purpose of this study was to evaluate the prevalence of left ventricular dysfunction after aortic valve replacement. Left ventricular function was assessed by a retrospective review of preoperative and postoperative ejection fractions (EF) using echocardiography. The prevalence of left ventricular dysfunction after aortic valve replacement was 17.39% with an odds ratio of 4.37 for low preoperative EF. Despite advances in myocardial protection and cardiothoracic surgical care, preoperative EF remains a strong predictor of outcome in patients undergoing aortic valve replacement.
Similar articles
-
Outcomes of transcatheter and surgical aortic valve replacement in high-risk patients with aortic stenosis and left ventricular dysfunction: results from the Placement of Aortic Transcatheter Valves (PARTNER) trial (cohort A).Circ Cardiovasc Interv. 2013 Dec;6(6):604-14. doi: 10.1161/CIRCINTERVENTIONS.113.000650. Epub 2013 Nov 12. Circ Cardiovasc Interv. 2013. PMID: 24221391 Clinical Trial.
-
Impact of preoperative left ventricular ejection fraction on long-term survival after aortic valve replacement for aortic stenosis.Circ Cardiovasc Qual Outcomes. 2013 Jan 1;6(1):35-41. doi: 10.1161/CIRCOUTCOMES.112.965772. Epub 2013 Jan 8. Circ Cardiovasc Qual Outcomes. 2013. PMID: 23300268
-
Aortic valve replacement for aortic stenosis in patients with left ventricular dysfunction.Ann Thorac Surg. 2009 Sep;88(3):746-51. doi: 10.1016/j.athoracsur.2009.05.078. Ann Thorac Surg. 2009. PMID: 19699891
-
Continuing dilemmas concerning aortic valve replacement in patients with advanced left ventricular systolic dysfunction.J Heart Valve Dis. 1997 Nov;6(6):562-79. J Heart Valve Dis. 1997. PMID: 9427121 Review.
-
Surgery for severe aortic stenosis with low transvalvular gradient and poor left ventricular function -- a single centre experience and review of the literature.J Cardiothorac Surg. 2007 Jan 31;2:9. doi: 10.1186/1749-8090-2-9. J Cardiothorac Surg. 2007. PMID: 17263898 Free PMC article. Review.