Mohamed Ahmed-Nasr
National Heart Institute, Egypt
Title: Emergency surgery for cardiac valve prostheses obstruction Experience of a teaching hospital institution
Biography
Biography: Mohamed Ahmed-Nasr
Abstract
Aim of the work: Emergency valve prostheses obstructions are becoming increasingly common. Analysis of causes and results are shown Patients and 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 postion 7 cases (4,7%) were due to endocarditis and 140 case 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. Total mortality 118/885 (13,3%)(13,3%)(13,3%) 338 cases were pregnant women out of them 310 cases (92%) continues preganacy. 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.