Systematic review of the outcome of aortic valve replacement in patients with aortic stenosis

作者: Umesh C Sharma , Paul Barenbrug , Saraswati Pokharel , Willem R.M Dassen , Yigal M Pinto

DOI: 10.1016/J.ATHORACSUR.2004.02.020

关键词: Aortic valveSurgeryAortic valve replacementAortic valve stenosisInternal medicineEjection fractionCardiologyStroke volumeValve replacementCirculatory systemMedicineStenosisPulmonary and Respiratory MedicineCardiology and Cardiovascular Medicine

摘要: Abstract Background After the establishment of aortic valve replacement procedure for stenosis, there are heterogeneous studies and varying reports on outcome. An analysis that compares individual to summarize overall effect is still lacking. This study systematically analyzes change in left ventricular (LV) mass index ejection fraction after adult patients. Methods We performed MEDLINE bibliographic searches included 27 articles published between 1980 2003 about outcome 1546 stenosis To allow comparisons, we stratified patients into early (0–6 months), intermediate (7–24 late (25–120 months) follow-up groups both LV regression fraction. separately analyzed five reported with low preoperative Results Increase surgery more pronounced have (28% ± 4.3% preop vs 40% 9.4% 6–41 months follow-up). Patients normal or high variable outcomes. However, uniformly achieved regardless age, sex, time operation, types substitute. Furthermore, regresses predominantly within first 6 (g/m 2 , 181 25.8 124 117 15 24 113 14 120 Conclusions systematic review supports concept dysfunction show a clear functional improvement replacement. Ventricles regress rapidly reach their approximate final size surgery.

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