Volume 6, Issue 3, May 2020, Page: 44-48
Reproducible and Reliable Modified Technique of Surgical Aortic Valve Replacement That Decreases the Incidence of Permanent Pace Maker Implantation
Nadine Kawkabani, Cardiothoracic Anesthesia Department, Saint George Hospital Medical Center, Balamand University, Saint George University, Beirut, Lebanon
Omar Boustros, Cardiothoracic Surgery Department, Saint George Hospital, Balamand University, Saint George University, Beirut, Lebanon
Rita Farah, Faculty of Pharmacy, Lebanese University, INSPECT, LB, Beirut, Lebanon
Roula Darwish, Cardiothoracic Anesthesia Department, Saint George Hospital Medical Center, Balamand University, Saint George University, Beirut, Lebanon
Moussa Abi Ghanem, Cardiothoracic Surgery Department, Saint George Hospital, Balamand University, Saint George University, Beirut, Lebanon
Hassan Souidan, Cardiothoracic Surgery Department, Saint George Hospital, Balamand University, Saint George University, Beirut, Lebanon
Hiba Zeidh, Cardiothoracic Surgery Department, Saint George Hospital, Balamand University, Saint George University, Beirut, Lebanon
Mohammad Hadi El Charif, Cardiothoracic Surgery Department, Saint George Hospital, Balamand University, Saint George University, Beirut, Lebanon
Bassam Abou Khalil, Cardiothoracic Surgery Department, Saint George Hospital, Balamand University, Saint George University, Beirut, Lebanon
Received: Mar. 1, 2020;       Accepted: Aug. 3, 2020;       Published: Aug. 20, 2020
DOI: 10.11648/j.ijcts.20200603.12      View  61      Downloads  28
Abstract
In the last few years, a significant increase in the number of patients with aortic stenosis requiring surgical or transcatheter aortic replacement (SAVR) or (TAVR) has been observed due to the larger aging population. Conduction disturbances requiring permanent pace maker implantation (PPMI) has been observed after SAVR and TAVR. In fact the incidence of PPMI following SAVR reached 11 to 13% while it occurred in7 to 36% of patients undergoing TAVR. The majority of rhythm problems are secondary to a significant trauma to the conduction system. In order to decrease the incidence of PPMI in patients undergoing SAVR, we developed a modified technique of SAVR that we applied on a group of 63 patients (group B) and we compared the incidence of PPMI in this group to the one observed in a second group of 62 patients who underwent the classic SAVR (group A). It was significantly lower in group B (3.2% vs 14.5%). In conclusion, The low incidence of PPMI (3.2%) observed in the modified SAVR group encourages us to recommend this technique in all patients undergoing biological SAVR especially that this technique is simple to apply highly reproducible and reliable. However, further multicenter and larger studies will help confirm our findings.
Keywords
Aortic Valve Replacement, New Technique, Incidence of Pace Maker Implantation
To cite this article
Nadine Kawkabani, Omar Boustros, Rita Farah, Roula Darwish, Moussa Abi Ghanem, Hassan Souidan, Hiba Zeidh, Mohammad Hadi El Charif, Bassam Abou Khalil, Reproducible and Reliable Modified Technique of Surgical Aortic Valve Replacement That Decreases the Incidence of Permanent Pace Maker Implantation, International Journal of Cardiovascular and Thoracic Surgery. Vol. 6, No. 3, 2020, pp. 44-48. doi: 10.11648/j.ijcts.20200603.12
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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