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VALVE REPLACEMENT SURGERY COMPLICATION : SYSTEMATIC REVIEW IN LITERATURE

Musab Rashid Alanazi *, Abdulaziz Abdullah Basurrah, Abdulgadir Talal Atteiah, Shahad Hatem Alraddadi, Amjad Ateek Alharbi, Saad Hamad Alfraikh, Najoud Marzooq Alotaibi, Munahi Lahiq Alsubaie , Abdulrhman Hezam Alzahrani, Abdullah Abdulkareem AlSubaie

This review is aiming to systematically summarize the literature on Valve replacement surgery complication. The present review was conducted by searching in Medline, Embase, Web of Science, Science Direct, BMJ journal and Google Scholar for, researches, review articles and reports, published over the past years. Books published on Valve replacement surgery complication. If several studies had similar findings, we randomly selected one or two to avoid repetitive. Results. Based on findings and results this review found all included RCTs had some methodological flaws. Among patients with major VC, vascular dissection (62.8%), perforation (31.3%), and access-site hematoma (22.9%) were the most frequent modes of presentation. Major VC, but not minor VC, were associated with significantly higher 30-day rates of major bleeding, transfusions, and renal failure requiring dialysis, and with a significantly higher rate of 30-day and 1-year mortality [3] Five patients (10%, CL 5.7 to 13.9) in group A suffered late acute aortic dissection. Acute aortic dissection (5 vs 0, p = 0.0001) and sudden death (7 vs 0, p = 0.0001) occurred more frequently in patients with BAV. [4] We recorded no structural valve deterioration requiring surgical valve replacement in either group. Moderate or severe aortic regurgitation occurred in 40 (14%) of 280 patients in the TAVR group and two (1%) of 228 in the SAVR group (p<0·0001). [5]. Keywords: Valve, replacement, stenosis, surgery, vascular complication Vascular complications (VC) Trans femoral (TF) Trans catheter aortic valve replacement (TAVR) aortic valve replacement (AVR).

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