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| {{Aortic insufficiency}} | | __NOTOC__ |
| | {{Aortic insufficiency surgery}} |
| '''For the WikiPatient page for this topic, click [[Aortic valve surgery (patient information)|here]]'''; '''For the main page of aortic insufficiency, click [[Aortic insufficiency|here]]''' | | '''For the WikiPatient page for this topic, click [[Aortic valve surgery (patient information)|here]]'''; '''For the main page of aortic insufficiency, click [[Aortic insufficiency|here]]''' |
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| {{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}, [[Varun Kumar]], M.B.B.S., [[Lakshmi Gopalakrishnan]], M.B.B.S., [[User:Mohammed Sbeih|Mohammed A. Sbeih, M.D.]][mailto:msbeih@perfuse.org] | | {{CMG}}; '''Associate Editor-In-Chief:''' [[User:Mohammed Sbeih|Mohammed A. Sbeih, M.D.]][mailto:msbeih@wikidoc.org]; [[Varun Kumar]], M.B.B.S., [[Lakshmi Gopalakrishnan]], M.B.B.S; {{USAMA}} |
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| '''Related Key Words and Synonyms:''' Aortic valve replacement. | | '''Related Key Words and Synonyms:''' Aortic valve replacement. |
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| ==[[Aortic insufficiency surgery preoperative evaluation|Preoperative Evaluation]]== | | ==[[Aortic insufficiency surgery preoperative evaluation|Preoperative Evaluation]]== |
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| | ==[[Aortic insufficiency surgery valve selection|Valve Selection]]== |
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| ==[[Aortic insufficiency surgery procedure|Procedure]]== | | ==[[Aortic insufficiency surgery procedure|Procedure]]== |
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| ==[[Aortic insufficiency surgery prognosis|Outcomes & Prognosis]]== | | ==[[Aortic insufficiency surgery prognosis|Outcomes & Prognosis]]== |
| ===Outcomes and Prognosis===
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| Most valve surgery operations are successful. In some rare cases, a valve repair may fail and another operation may be needed.
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| The risk of death or serious complications from isolated aortic valve replacement is typically quoted as being between 1-3% of cases, depending on the health and age of the patient, as well as the skill of the surgeon and the health care institute. The patient's past history of heart surgery affects the mortality rate as well.
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| Patient with mechanical valve may hear a quiet clicking sound in his chest. This is just the sound of the new valve opening and closing, and a sign that the new valve is working.
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| '''Mechanical Versus Biological Valves'''
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| Mechanical heart valves do not fail often. They last from 12 to 20 years. However, blood clots develop on them. If a blood clot forms, the patient may have a stroke. Bleeding can occur, but this is rare.
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| [[Biological]] valves tend to fail over time <ref name="pmid8469251">{{cite journal| author=Hammermeister KE, Sethi GK, Henderson WG, Oprian C, Kim T, Rahimtoola S| title=A comparison of outcomes in men 11 years after heart-valve replacement with a mechanical valve or bioprosthesis. Veterans Affairs Cooperative Study on Valvular Heart Disease. | journal=N Engl J Med | year= 1993 | volume= 328 | issue= 18 | pages= 1289-96 | pmid=8469251 | doi=10.1056/NEJM199305063281801 | pmc= | url= }} </ref><ref name="pmid11028464">{{cite journal| author=Hammermeister K, Sethi GK, Henderson WG, Grover FL, Oprian C, Rahimtoola SH| title=Outcomes 15 years after valve replacement with a mechanical versus a bioprosthetic valve: final report of the Veterans Affairs randomized trial. | journal=J Am Coll Cardiol | year= 2000 | volume= 36 | issue= 4 | pages= 1152-8 | pmid=11028464 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11028464 }} </ref>, but they have a lower risk of blood clots. Patients with a biological valve may need to have the valve replaced in 10 to 15 years. Patients with a mechanical valve will need to take a blood-thinning medicine for the rest of their lives.
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| ==[[Aortic insufficiency surgery complications|Complications]]== | | ==[[Aortic insufficiency surgery complications|Complications]]== |
| ===Complications===
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| '''Risks of any surgery'''
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| *Blood clots in the legs that may travel to the lungs.
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| *Blood loss.
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| *Breathing problems.
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| *Infection, including in the lungs, kidneys, bladder, chest, or heart valves.
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| *Reactions to medicines.
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| *Nausea and vomiting.
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| *Abnormal or painful scar formation.
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| *Allergic skin reaction
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| '''Possible risks from having [[open-heart surgery]]'''
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| *[[Heart attack]] or stroke.
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| *Heart [[rhythm]] problems; such as [[atrial fibrillation]].
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| *Infection in the cut, which is more likely to happen in people who are obese, have [[diabetes]], or have already had this surgery.
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| *Memory loss and loss of mental clarity, or "fuzzy thinking."
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| *[[Post-pericardiotomy syndrome]], which is a low-grade fever and chest pain. This could last for up to 6 months.
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| '''Prosthetic heart valves are associated with a variety of complications'''
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| *Structural deterioration, particularly with bioprosthetic valves.
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| *Valve obstruction due to [[thrombosis]] or pannus formation.
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| *Systemic [[embolization]].
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| *Bleeding.
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| *[[Endocarditis]] and other infections.
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| *Left ventricular systolic dysfunction, which may be preexisting ([[Heart failure]]).
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| *[[Hemolytic anemia]].
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| ==[[Aortic insufficiency surgery videos|Videos]]== | | ==[[Aortic insufficiency surgery videos|Videos]]== |
| ==Videos==
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| ===Severe aortic insufficiency in patient after aortic valve replacement 1===
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| {{#ev:googlevideo|-3829359717394053857}} | | {{WS}} |
| | | [[CME Category::Cardiology]] |
| ===Severe aortic insufficiency in patient after aortic valve replacement 2===
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| {{#ev:googlevideo|-1139143783733805104}} | |
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| ===Severe aortic insufficiency in patient after aortic valve replacement 3===
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| {{#ev:googlevideo|-7501177211861270942}}
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| ===Severe aortic insufficiency in patient after aortic valve replacement 4===
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| {{#ev:googlevideo|-4027195456056520519}}
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| ===Severe aortic insufficiency in patient after aortic valve replacement 5===
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| {{#ev:googlevideo|3983126063629833286}}
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| ===Severe aortic insufficiency in patient after aortic valve replacement 6===
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| {{#ev:googlevideo|5313961274473108141}}
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| ===Severe aortic insufficiency in patient after aortic valve replacement 7===
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| {{#ev:googlevideo|-1049019986268408841}}
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| ===Severe aortic insufficiency in patient after aortic valve replacement 8===
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| {{#ev:googlevideo|1577454681656420080}}
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| ==References==
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| {{reflist|2}}
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| [[Category:Cardiology]] | | [[Category:Cardiology]] |
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| [[Category:Surgical procedures]] | | [[Category:Surgical procedures]] |
| [[Category:Valvular heart disease]] | | [[Category:Valvular heart disease]] |
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| {{WH}}
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| {{WS}}
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