Aortic valve replacement in Chinese adults (1990-2009): A single center retrospective study
10.3724/SP.J.1008.2014.00745
- Author:
Xiang CAO
1
Author Information
1. Department of Cardiothoracic Surgery, Changhai Hospital, Second Military Medical University
- Publication Type:Journal Article
- Keywords:
Aortic valve;
Etiology;
Heart valve diseases;
Heart valve prosthesis implantation;
Hospital mortality
- From:
Academic Journal of Second Military Medical University
2014;35(7):745-748
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the etiological spectrum of aortic valve diseases and the early prognosis of Chinese adults undergoing aortic valve replacement during 1990-2009. Methods: The clinical data of 927 patients, who received aortic valve replacement in Changhai Hospital during 1990-2009, were retrospectively analyzed. Results: It was showed that the major causes of the aortic valve replacement included congenital disease and degenerative conditions, with the proportions of rheumatic and infectious etiologies gradually decreased while those of degenerative and congenital etiologies kept increasing. The latter ten years witnessed a significantly decreased duration of postoperative ventilation, time in the intensive care unit (ICU) and length of postoperative hospital stay compared with those of the first ten years (P<0.05). The overall in-hospital mortality was 4.7% (44 of 927 patients) in our study, showing no gender difference. The in-hospital mortality in the latter 15 years was significantly lower than that of the first 5 years (P<0.05). Conclusion: The causes of aortic valve disease in China have changed over the past 20 years, and the in-hospital mortality of adults undergoing aortic valve replacement has decreased than before.
