KẾT QUẢ PHẪU THUẬT THAY VAN HAI LÁ DO HẸP BẰNG VAN NHÂN TẠO CƠ HỌC ATS TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Abstract

Objectives:Evaluate some clinical and paraclinical characteristics of patients with mitral valve stenosis who are candidates for ATS Open Pivot mechanical valve replacement and results of this procedure at 108 Military Central Hospital. Patient and method: This is a descriptive, cross-sectional study of 76mitral valve stenosis patients who are candidates for ATS mechanical valve replacement at 108 Military Central Hospital from December 2018 to December 2020. Result: Mean age was 50,79 ± 7,53 years; the percentage of male patients is higher thanwomen. Most of the patients were in NYHA class II to III preoperatively. Systolic pulmonary artery pressure elevation was mainly in moderate and severe degree. Mean CPB time was 113,48 ± 25,42 min; cross-clamp time was 88,66 ± 20,85min. Common early complications: bleeding complication, respiratory complication, neurological complication. Hospital death was 1,3%. After surgery, systolic pulmonary artery pressure decreased and condition of heart failure also recovered. Conclusion: Mitral valve replacement, using ATS mechanical prothesis,is a good treatmen for most patients with mitral valve stenosis withlow complication rate,decreasing ofpulmonary artery pressure and recoveringheart failure over follow up time.