EARLY OUTCOME AFTER HEART VALVE REPLACEMENT IN PATIENTS WITH SEVERE REDUCTION OF LEFT VENTRICULAR EJECTION FRACTION

Abstract

Objectives: Evaluate the early outcome after heart valve replacement in patients with severe reduction of left ventricular ejection fraction.                                                                        Results: 57 patients with heart valve replacement and LVEF < 40% were enrolled in the study. Mean age was 45:68 $ 10.97 yrs. 47.36% had both aortic and mitral valve replacement, 24.56% mitral valve replacement, and aortic valve replacement in 28.08%. 66.67% NYHA class III-IV. ICU stay in 9.29 days. Mean inotrope use time was 8.46 days. Operative mortality was 7.02%. Heart chambers size reduced well postoperative with gradual improvement of LVEF.                                                                                                                                            Conclusion: Heart valve replacement in patients with severe left ventricular dysfunction, although having higher risk of mortality and morbidity, is a method of choice which improves symptoms and LV function, and reduces mortality.