Key result
AVR for adolescent rheumatic AR shows 0 operative deaths and symptom relief but frequent myocardial damage.
Why the study?
Does aortic valve replacement improve haemodynamic recovery and symptoms safely in adolescents with rheumatic aortic incompetence?
Population
20 adolescent patients with rheumatic aortic incompetence (regurgitation), mean age 15 years.
Design
Case_series
Authors
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Improves symptoms without operative mortality in adolescent rheumatic AR but with high myocardial damage; leaves open safer myocardial protection strategies.
Observational (n=20)
Does aortic valve replacement improve haemodynamic recovery and symptoms safely in adolescents with rheumatic aortic incompetence?
While aortic valve replacement in adolescents with rheumatic aortic regurgitation improves symptoms and hemodynamics, it is associated with a concerningly high incidence of perioperative myocardial damage.
Weir et al. (1978) conducted an observational in Rheumatic aortic regurgitation (n=20). Aortic valve replacement was evaluated on Haemodynamic recovery and operative risks (symptoms, cardiothoracic ratio, mortality, and morbidity). Aortic valve replacement in 20 adolescents with rheumatic aortic regurgitation improved symptoms in all cases with 0 operative deaths, but had a high incidence of myocardial damage.
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