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Curr Trend Cardiol. 2017 | Volume 1 Issue 3
September 18-19, 2017 | Toronto, Canada
Annual Conference on
HEART DISEASES
Objective:
to compare the outcome in mitral valve
replacement done through standard median sternotomy
versus right anterolateral thoracotomy.
Methodology:
Retrospective study from Jan 2010 to Dec
2016 at Department of Cardiovascular Surgery, Govt. Lady
Reading Hospital Peshawar, Pakistan. Total 281 cases of
mitral valve replacement (MVR) done among them 229 were
operated through Standard Median Sternotomy (SMS) and
157 were operated through Right Anterolateral thoracotomy
(RALT). Ethical committee approval was taken. An informed
consent was taken for all patients. Age, sex, mortality, total
cardiopulmonary bypass CPB time, time to establish CPB,
mediastinal /chest drainage, post op blood transfusion, total
hospital stay, ICU stay were analyzed and compared in the
two groups. Statistical analysis done by SPSS version 17 and
paired t test were applied to get p value. P value less than
0.05 was considered significant.
Results:
Females were predominant in both the groups (SMS
73.03 % and RALT 77.07 %). Mean body surface area was
1.34 meter square. Mean age was 28.65 years in SMS and
26.42 years in RALT. There was no significant difference in
mortality, cardiopulmonary bypass time, cross clamp time,
ventilator time, in the two groups. There was significant
difference in post op blood transfusion, chest drainage, ICU
stay and in total post op hospital stay.
Conclusion:
Sternum Sparing Mitral Valve Replacement can
be done safely in selected cases. It gives better cosmetic
results in females. RALT approach reduces hospital stay
of patients and he can return to work early. Besides less
pain, shorter skin incision and lower blood loss, it has
more advantages as reduced sternal infection and sternal
disruption.
Speaker Biography
Hamid Ahmad is graduate in Medicine & surgery from Khyber Medical College,
Peshawar Pakistan. He started his practical life in Basic health unit and then worked
in Khyber medical college as lecturer in Biochemistry. He opted cardiac surgery and
working in Department of cardiovascular surgery in Lady Reading Hospital Peshawar.
He has special interest in Adult cardiac surgery. He play pivotal role in development
of his department under the supervision of his Professor Dr Riaz Anwar Khan. He is
member of Pakistan Society of Cardiovascular and Thoracic Surgeons and worked
as Public Relation secretary and Joint Secretary. He attended many national and
international conference and presented papers. He has hobby of Mountaineering &
Hiking.
e:
hamid797@yahoo.comComparative study of Standard Median Sternotomy (SMS) vs Right Anterolateral Thoracotomy (RALT)
for mitral valve replacement
Hamid Ahmad
Govt Lady Reading Hospital, Pakistan