Vol. 24 No. 2 (2020)
ACQUIRED HEART DISEASES

Early results of surgery for aortic valve disease in patients with severe left ventricular dysfunction

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  • S. Babeshko,
  • Yu. Samurganov,
  • D. Shumkov,
  • K. Barbukhatti,
  • V. Porkhanov
S. Babeshko
Research Institute – S. V. Ochapovsky Regional Clinic Hospital No. 1, Ministry of Health of Krasnodar Region, Krasnodar
Bio
Yu. Samurganov
Kuban State Medical University, Ministry of Health of Russian Federation, Krasnodar
D. Shumkov
Research Institute – S. V. Ochapovsky Regional Clinic Hospital No. 1, Ministry of Health of Krasnodar Region, Krasnodar
K. Barbukhatti
Research Institute – S. V. Ochapovsky Regional Clinic Hospital No. 1, Ministry of Health of Krasnodar Region, Krasnodar; Kuban State Medical University, Ministry of Health of Russian Federation, Krasnodar
V. Porkhanov
Research Institute – S. V. Ochapovsky Regional Clinic Hospital No. 1, Ministry of Health of Krasnodar Region, Krasnodar; Kuban State Medical University, Ministry of Health of Russian Federation, Krasnodar
DOI: https://doi.org/10.21688/1681-3472-2020-2-63-72

Published 2020-07-03

Keywords

  • aortic valve disease,
  • aortic valve replacement,
  • cardiac surgery,
  • severe left ventricular dysfunction

How to Cite

Babeshko, S., Samurganov, Y., Shumkov, D., Barbukhatti, K., & Porkhanov, V. (2020). Early results of surgery for aortic valve disease in patients with severe left ventricular dysfunction. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 24(2), 63–72. https://doi.org/10.21688/1681-3472-2020-2-63-72

Copyright (c) 2020 Babeshko S.S., Samurganov Yu.P., Shumkov D.I., Barbukhatti K.O., Porkhanov V.A.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Aim. This study aimed to analyse the early results of aortic valve replacement in patients with severe left ventricular dysfunction: i.e. a left ventricle ejection fraction (LVEF) ≤30%.
Methods. This retrospective study included 145 adult patients with isolated aortic valve disease and LVEF ≤30% who underwent aortic valve replacement from 2005 to 2019 at our institution. Patients who required any concomitant or redo surgery were excluded from the study.
Results. There were three perioperative deaths (in-hospital mortality, 2.1%) due to multiple organ failure syndrome (two patients) or acute heart failure (one patient). Postoperative heart failure was the prevailing non-lethal complication (73% of cases). Other complications occurred less frequently: nine patients (6.2%) had acute kidney injury (four of whom required hemodiafiltration), one patient (0.7%) suffered a stroke, six patients (4%) required chest re-exploration for bleeding and two patients (1.4%) experienced sternal infection of the surgical wound. Patient LVEF improved significantly from 22.6% ± 5.3% to 35.8% ± 11.0% postoperatively (a 37% mean increase; p = 0.02), and most patients (73%) were classified as New York Heart Association class I–II by the time of discharge.
Conclusion. Our study showed excellent results of surgery for aortic valve disease in patients with severe left ventricular dysfunction. Postoperatively, there was a marked increase in LVEF and significant clinical improvement.

Received 1 May 2020. Revised 12 May 2020. Accepted 18 May 2020.

Funding: The study did not have sponsorship.

Conflict of interest: Authors declare no conflict of interest.

Author contributions
Conception and design: S.S. Babeshko, K.O. Barbukhatti, V.A. Porkhanov
Data collection and analysis: S.S. Babeshko, D.I. Shumkov
Drafting the article: S.S. Babeshko, Y.P. Samurganov
Statistical analysis: S.S. Babeshko, D.I. Shumkov
Critical revision of the article: S.S. Babeshko, Y.P. Samurganov, K.O. Barbukhatti
Final approval of the version to be published: S.S. Babeshko, Y.P. Samurganov, D.I. Shumkov, K.O. Barbukhatti, V.A. Porkhanov

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