Clinical & Experimental Cardiology
Open Access

Emergency surgery for cardiac valve prostheses obstruction experience of a teaching hospital institution

8^th Global Cardiologists & Echocardiography Annual Meeting

July 18-20, 2016 Berlin, Germany

Mohamed Ahmed-Nasr, Ahmed Abdel Samad Dessouky and Yasser Abdel Rahman Awadallah

National Heart Institute, Egypt

Posters & Accepted Abstracts: J Clin Exp Cardiolog

Abstract :

Aim of the work: Emergency valve prostheses obstruction is becoming increasingly common. Analysis of causes and results are shown Patients & Methods: Between January 2004 and December 2013, 885 cases of cardiac valve prostheses obstruction were done. 617 (69.7%) MVR; 147 (16.6%) AVR; 121 (13.6%) DVR. Out of the 617 MVR; 9(1.4%) were due to endocarditis, 608 cases were due to valve thrombosis out of them 316 (52%) were pregnant women. In Aortic position, 7 cases (4.7%) were due to endocarditis and 140 cases due to thrombosis; out of them 22 cases were pregnant women. DVR 110 were due to valve thrombosis and 11 (9%) due to endocarditis in aortic position. Results: Total mortality 118/885 (13.3%)(13.3%)(13.3%) 338 cases were pregnant women out of them 310 cases ( 92%) continues pregnancy. 16 cases had immediate caesarian section in the immediate post-operative with 6 infant mortalities. Conclusion: Endocarditis represents 1.4% in Aortic position; 9% in DVR; and 4.7% in mitral position. Pregnancy represents a major factor in valve prostheses thrombosis due to anticoagulation program shifting from oral anticoagulation to Heparine.

Biography :

Email: nasssr@link.net