EARLY POST OPERATIVE VALVULAR PATIENT
| Autor: | Raja Pervaiz Akhtar, Faisal Ali, Rehan Riaz, Muhammad Wasim Sajid, Shahbaz Ahmad, Mohsin Nazeer |
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| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | The Professional Medical Journal. 22:317-320 |
| ISSN: | 2071-7733 1024-8919 |
| Popis: | Rheumatic Heart Disease is affecting the tricuspid valve almost as equally as itaffects the other valves of the heart and the fact is that the single valvular disease of the heartis rare in our population. Objectives: To determine the cost effectiveness of modified devagiarepair in relief of post operative valvular patient. Period: 2009-2014. Setting: Faisalabad Instituteof cardiology Faisalabad, Method: All the patients with mitral valve disease having concomitanttricuspid valve regurgitation operated upon. Average age of 14 years to 45 years without genderdiscrimination. Result: A total of 380 patients were studied having concomitant mitral andtricuspid disease. Out of which 276 patients had moderate to severe tricuspid regurgitation onper-operative digital assessment for which modified DeVaga’s repair was essential and done.Only 104 patients had moderate tricuspid regurgitation on per-operative digital assessmentwhich was the main population of address in our study. Out of these, 76 patients were decidedfor modified DeVaga’s repair due to their moderate tricuspid regurgitation and 28 patients wereleft alone without modified DeVaga’s repair due to their mild to moderate tricuspid regurgitation.Then their early post operative course was monitored in terms of ICU stay and their functionalrecovery after operation. Patients with modified DeVaga’s repair for moderate tricuspidregurgitation showed 30-42 hours early weaning of inotropes and mobilization from ICU thanthe patients without modified DeVaga’s repair for mild to moderate tricuspid regurgitation. It isthus evident that modified DeVaga’s repair for moderate tricuspid regurgitation saved hoursof ICU stay, cost of ICU treatment, man hours of doctors, nurses & paramedical staff showinggood post surgical functional recovery as well. Conclusions: Modified DeVaga’s repair formoderate tricuspid regurgitation has a cost effective impact in the treatment of valvular patientscausing early and good functional recovery after valvular replacement procedures, saving manhours of Cardiac surgeons, Nurses, Paramedical staff, patients and thus their cost of treatment. |
| Databáze: | OpenAIRE |
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