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{{Aortic insufficiency}}
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{{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]]'''


{{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:''' {{CZ}}, [[Varun Kumar]], M.B.B.S., [[Lakshmi Gopalakrishnan]], M.B.B.S., [[User:Mohammed Sbeih|Mohammed A. Sbeih, M.D.]][mailto:msbeih@wikidoc.org]; {{USAMA}}


'''Related Key Words and Synonyms:''' Aortic valve replacement.
'''Related Key Words and Synonyms:''' Aortic valve replacement.


==Outcomes and Prognosis==
==Overview==
Most valve surgery operations are successful. In some rare cases, a valve repair may fail and another operation may be needed.
Most valve surgery operations are successful, but in some rare cases, an aortic valve repair may fail and another operation may be needed.
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.
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.


'''Mechanical Versus Biological Valves'''
==Operative Mortality==
 
The risk of death or serious complications from isolated aortic valve replacement is typically between 1-3%, 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. Complications like myocardial Injury and acute kidney injury may negatively effect the prognosis.<ref name="pmid23465097">{{cite journal| author=Carrabba N, Valenti R, Migliorini A, Vergara R, Parodi G, Antoniucci D| title=Prognostic value of myocardial injury following transcatheter aortic valve implantation. | journal=Am J Cardiol | year= 2013 | volume= 111 | issue= 10 | pages= 1475-81 | pmid=23465097 | doi=10.1016/j.amjcard.2013.01.301 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23465097  }} </ref><ref name="pmid23415511">{{cite journal| author=Barbash IM, Dvir D, Ben-Dor I, Badr S, Okubagzi P, Torguson R et al.| title=Prevalence and effect of myocardial injury after transcatheter aortic valve replacement. | journal=Am J Cardiol | year= 2013 | volume= 111 | issue= 9 | pages= 1337-43 | pmid=23415511 | doi=10.1016/j.amjcard.2012.12.059 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23415511 }} </ref><ref name="pmid25801148">{{cite journal| author=Chatani K, Abdel-Wahab M, Wübken-Kleinfeld N, Gordian K, Pötzing K, Mostafa AE et al.| title=Acute kidney injury after transcatheter aortic valve implantation: Impact of contrast agents, predictive factors, and prognostic importance in 203 patients with long-term follow-up. | journal=J Cardiol | year= 2015 | volume= 66 | issue= 6 | pages= 514-9 | pmid=25801148 | doi=10.1016/j.jjcc.2015.02.007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25801148  }} </ref>
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.
[[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.


==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Cardiology]]
[[Category:Surgery]]
[[Category:Cardiac surgery]]
[[Category:Surgical procedures]]
[[Category:Valvular heart disease]]


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Latest revision as of 15:45, 5 January 2017

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For the WikiPatient page for this topic, click here; For the main page of aortic insufficiency, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2], Varun Kumar, M.B.B.S., Lakshmi Gopalakrishnan, M.B.B.S., Mohammed A. Sbeih, M.D.[3]; Usama Talib, BSc, MD [4]

Related Key Words and Synonyms: Aortic valve replacement.

Overview

Most valve surgery operations are successful, but in some rare cases, an aortic valve repair may fail and another operation may be needed.

Operative Mortality

The risk of death or serious complications from isolated aortic valve replacement is typically between 1-3%, 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. Complications like myocardial Injury and acute kidney injury may negatively effect the prognosis.[1][2][3]

References

  1. Carrabba N, Valenti R, Migliorini A, Vergara R, Parodi G, Antoniucci D (2013). "Prognostic value of myocardial injury following transcatheter aortic valve implantation". Am J Cardiol. 111 (10): 1475–81. doi:10.1016/j.amjcard.2013.01.301. PMID 23465097.
  2. Barbash IM, Dvir D, Ben-Dor I, Badr S, Okubagzi P, Torguson R; et al. (2013). "Prevalence and effect of myocardial injury after transcatheter aortic valve replacement". Am J Cardiol. 111 (9): 1337–43. doi:10.1016/j.amjcard.2012.12.059. PMID 23415511.
  3. Chatani K, Abdel-Wahab M, Wübken-Kleinfeld N, Gordian K, Pötzing K, Mostafa AE; et al. (2015). "Acute kidney injury after transcatheter aortic valve implantation: Impact of contrast agents, predictive factors, and prognostic importance in 203 patients with long-term follow-up". J Cardiol. 66 (6): 514–9. doi:10.1016/j.jjcc.2015.02.007. PMID 25801148.

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