Beating heart valve surgery in patients with low left ventricular ejection fraction

Francisco Igor B MacEdo, Enisa M. Carvalho, Mohammed Hassan, Marco Ricci, Edward Gologorsky, Tomas Salerno

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: Patients with very low left ventricular ejection fraction (LVEF) are at high risk for valve surgery. We herein present our experience with beating heart valve surgery in such patients. Methods: From May 2000 to October 2006, 346 consecutive patients underwent beating heart valve surgery. Of these, 50 patients had LVEF <30%: 7 had LVEF 21 to 29%, 34 had LVEF <20%, and 9 had LVEF <10%. Mean age was 57.44 ± 12.45 years (range 28 to 85 years). There were 40 males (80%) and 10 females (20%). Results: Isolated mitral valve (MV) and aortic valve replacements were performed in 11 (22%) and 10 (20%) of patients, respectively. Fourteen (28%) patients underwent combined coronary artery bypass grafting and valve replacements. MV repairs were performed; 13 (26%) patients and 2 (4%) patients had combined MV replacements and tricuspid repairs. Mean hospital stay was 15.37 ± 13.12 days (range 3 to 55 days). Overall early mortality (<30 days) was 6% (three patients) and one patient (2%) died late (>30 days). Conclusions: Beating heart valve surgery in patients with poor LVEF yields results similar to conventional surgery using cardioplegia. Additional studies are needed to fully evaluate the potential benefits of this method of myocardial perfusion for this high-risk group of patients.

Original languageEnglish
Pages (from-to)267-271
Number of pages5
JournalJournal of Cardiac Surgery
Volume25
Issue number3
DOIs
StatePublished - May 1 2010
Externally publishedYes

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Heart Valves
Stroke Volume
Thoracic Surgery
Induced Heart Arrest
Perfusion

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Beating heart valve surgery in patients with low left ventricular ejection fraction. / MacEdo, Francisco Igor B; Carvalho, Enisa M.; Hassan, Mohammed; Ricci, Marco; Gologorsky, Edward; Salerno, Tomas.

In: Journal of Cardiac Surgery, Vol. 25, No. 3, 01.05.2010, p. 267-271.

Research output: Contribution to journalArticle

MacEdo, Francisco Igor B ; Carvalho, Enisa M. ; Hassan, Mohammed ; Ricci, Marco ; Gologorsky, Edward ; Salerno, Tomas. / Beating heart valve surgery in patients with low left ventricular ejection fraction. In: Journal of Cardiac Surgery. 2010 ; Vol. 25, No. 3. pp. 267-271.
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