Frequency of Aortic Root Enlargement to Prevent PPM Patients Undergone Aortic Valve Replacement in Peshawar Institute of Cardiology Article Swipe
YOU?
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· 2024
· Open Access
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· DOI: https://doi.org/10.61919/jhrr.v4i1.415
Background: Surgical aortic valve replacement (AVR) remains the gold standard for treating symptomatic aortic valve stenosis, aiming to alleviate left ventricular overload, relieve symptoms, and enhance survival. Aortic root enlargement (ARE) is a technique used alongside AVR to accommodate a properly sized prosthetic valve, particularly in patients with a small aortic annulus, to prevent patient-prosthesis mismatch (PPM) and improve clinical outcomes. Objective: This study aimed to evaluate the outcomes of AVR with or without ARE at the Peshawar Institute of Cardiology, focusing on the procedural efficacy, incidence of PPM, and short-term post-operative outcomes. Methods: A retrospective analysis was conducted on 76 patients who underwent AVR, with or without ARE, from December 2020 to March 2023. Data were collected on demographics, clinical manifestations, etiology, comorbidities, operative details, and post-operative outcomes. Statistical analyses included mean ± SD for quantitative variables and frequencies with percentages for qualitative variables, using SPSS 26.0 for data analysis. Results: The average age of patients was 37.53 ± 15.589 years, with a mean BMI of 24.9125 ± 5.07249. Among the procedures, 48.7% were AVR alone, 11.8% AVR with ARE, 10.5% AVR with coronary artery bypass grafting (CABG), and 28.9% AVR with mitral valve replacement (MVR). The mean bypass time for AVR+ARE was 189.3333 ± 77.83155 minutes, compared to 161.9254 ± 64.08737 minutes for other valvular surgeries. Post-operative hospital stay averaged 5.4444 ± 1.74005 days for AVR+ARE cases, against 6.52 ± 2.003 days for other surgeries. Conclusion: AVR with ARE is a feasible and effective strategy for patients with small aortic annuli, demonstrating satisfactory short-term outcomes and potential to reduce PPM. The study highlights the need for cardiac surgeons to gain proficiency in ARE techniques and calls for further research to evaluate long-term outcomes.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.61919/jhrr.v4i1.415
- https://jhrlmc.com/index.php/home/article/download/415/449
- OA Status
- diamond
- References
- 27
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4391918824
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4391918824Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.61919/jhrr.v4i1.415Digital Object Identifier
- Title
-
Frequency of Aortic Root Enlargement to Prevent PPM Patients Undergone Aortic Valve Replacement in Peshawar Institute of CardiologyWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-02-15Full publication date if available
- Authors
-
Abdul Nasır, Aamır Iqbal, Abdul Haseeb, Attiya Hameed KhanList of authors in order
- Landing page
-
https://doi.org/10.61919/jhrr.v4i1.415Publisher landing page
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https://jhrlmc.com/index.php/home/article/download/415/449Direct link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://jhrlmc.com/index.php/home/article/download/415/449Direct OA link when available
- Concepts
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Medicine, Aortic valve replacement, Cardiac skeleton, Cardiology, Internal medicine, Aortic valve, Stenosis, Aortic root, Prosthesis, Mitral valve replacement, Aortic valve stenosis, Surgery, Mitral valve, AortaTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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27Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.aortic | 2, 13, 50, 251 |
| abstract_inverted_index.artery | 185 |
| abstract_inverted_index.bypass | 186, 199 |
| abstract_inverted_index.cases, | 228 |
| abstract_inverted_index.mitral | 193 |
| abstract_inverted_index.reduce | 260 |
| abstract_inverted_index.valve, | 43 |
| abstract_inverted_index.years, | 161 |
| abstract_inverted_index.(CABG), | 188 |
| abstract_inverted_index.1.74005 | 224 |
| abstract_inverted_index.24.9125 | 167 |
| abstract_inverted_index.AVR+ARE | 202, 227 |
| abstract_inverted_index.against | 229 |
| abstract_inverted_index.annuli, | 252 |
| abstract_inverted_index.average | 153 |
| abstract_inverted_index.cardiac | 268 |
| abstract_inverted_index.enhance | 25 |
| abstract_inverted_index.further | 279 |
| abstract_inverted_index.improve | 58 |
| abstract_inverted_index.minutes | 213 |
| abstract_inverted_index.prevent | 53 |
| abstract_inverted_index.relieve | 22 |
| abstract_inverted_index.remains | 6 |
| abstract_inverted_index.without | 73, 107 |
| abstract_inverted_index.161.9254 | 210 |
| abstract_inverted_index.189.3333 | 204 |
| abstract_inverted_index.5.07249. | 169 |
| abstract_inverted_index.64.08737 | 212 |
| abstract_inverted_index.77.83155 | 206 |
| abstract_inverted_index.December | 110 |
| abstract_inverted_index.Methods: | 93 |
| abstract_inverted_index.Peshawar | 77 |
| abstract_inverted_index.Results: | 151 |
| abstract_inverted_index.Surgical | 1 |
| abstract_inverted_index.analyses | 130 |
| abstract_inverted_index.analysis | 96 |
| abstract_inverted_index.annulus, | 51 |
| abstract_inverted_index.averaged | 221 |
| abstract_inverted_index.clinical | 59, 120 |
| abstract_inverted_index.compared | 208 |
| abstract_inverted_index.coronary | 184 |
| abstract_inverted_index.details, | 125 |
| abstract_inverted_index.evaluate | 66, 282 |
| abstract_inverted_index.feasible | 243 |
| abstract_inverted_index.focusing | 81 |
| abstract_inverted_index.grafting | 187 |
| abstract_inverted_index.hospital | 219 |
| abstract_inverted_index.included | 131 |
| abstract_inverted_index.minutes, | 207 |
| abstract_inverted_index.mismatch | 55 |
| abstract_inverted_index.outcomes | 68, 256 |
| abstract_inverted_index.patients | 46, 101, 156, 248 |
| abstract_inverted_index.properly | 40 |
| abstract_inverted_index.research | 280 |
| abstract_inverted_index.standard | 9 |
| abstract_inverted_index.strategy | 246 |
| abstract_inverted_index.surgeons | 269 |
| abstract_inverted_index.treating | 11 |
| abstract_inverted_index.valvular | 216 |
| abstract_inverted_index.Institute | 78 |
| abstract_inverted_index.alleviate | 18 |
| abstract_inverted_index.alongside | 35 |
| abstract_inverted_index.analysis. | 150 |
| abstract_inverted_index.collected | 117 |
| abstract_inverted_index.conducted | 98 |
| abstract_inverted_index.effective | 245 |
| abstract_inverted_index.efficacy, | 85 |
| abstract_inverted_index.etiology, | 122 |
| abstract_inverted_index.incidence | 86 |
| abstract_inverted_index.long-term | 283 |
| abstract_inverted_index.operative | 124 |
| abstract_inverted_index.outcomes. | 60, 92, 128, 284 |
| abstract_inverted_index.overload, | 21 |
| abstract_inverted_index.potential | 258 |
| abstract_inverted_index.stenosis, | 15 |
| abstract_inverted_index.survival. | 26 |
| abstract_inverted_index.symptoms, | 23 |
| abstract_inverted_index.technique | 33 |
| abstract_inverted_index.underwent | 103 |
| abstract_inverted_index.variables | 137 |
| abstract_inverted_index.Objective: | 61 |
| abstract_inverted_index.highlights | 264 |
| abstract_inverted_index.procedural | 84 |
| abstract_inverted_index.prosthetic | 42 |
| abstract_inverted_index.short-term | 90, 255 |
| abstract_inverted_index.surgeries. | 217, 236 |
| abstract_inverted_index.techniques | 275 |
| abstract_inverted_index.variables, | 144 |
| abstract_inverted_index.Background: | 0 |
| abstract_inverted_index.Cardiology, | 80 |
| abstract_inverted_index.Conclusion: | 237 |
| abstract_inverted_index.Statistical | 129 |
| abstract_inverted_index.accommodate | 38 |
| abstract_inverted_index.enlargement | 29 |
| abstract_inverted_index.frequencies | 139 |
| abstract_inverted_index.percentages | 141 |
| abstract_inverted_index.procedures, | 172 |
| abstract_inverted_index.proficiency | 272 |
| abstract_inverted_index.qualitative | 143 |
| abstract_inverted_index.replacement | 4, 195 |
| abstract_inverted_index.symptomatic | 12 |
| abstract_inverted_index.ventricular | 20 |
| abstract_inverted_index.particularly | 44 |
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| abstract_inverted_index.demonstrating | 253 |
| abstract_inverted_index.retrospective | 95 |
| abstract_inverted_index.Post-operative | 218 |
| abstract_inverted_index.comorbidities, | 123 |
| abstract_inverted_index.post-operative | 91, 127 |
| abstract_inverted_index.manifestations, | 121 |
| abstract_inverted_index.patient-prosthesis | 54 |
| cited_by_percentile_year | |
| countries_distinct_count | 0 |
| institutions_distinct_count | 4 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.5199999809265137 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.03557312 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |