Academic Journal
Optimizing aortic valve prosthesis selection in patients with obesity: Institutional experience with multidisciplinary perspective
| العنوان: | Optimizing aortic valve prosthesis selection in patients with obesity: Institutional experience with multidisciplinary perspective |
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| المؤلفون: | Balkanay, Ozan Onur, Bulut, Halil Ibrahim, Albrahimi, Ergida, Mirizade, Miri, Yenigun, Abdulgani Orhun, Tomey, Daniel, Bistre, Jacques |
| بيانات النشر: | Sage Publications Inc |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Aortic valve, replacement, cardiac, obesity (incl related subjects), heart valve prosthesis (specify type, eg, mechanical, bioprosthetic, etc.), blood, coagulation/anticoagulation, cardia, In-Hospital Outcomes, Body-Mass Index, Surgery, Nationwide, Stenosis, Disease |
| الوصف: | Background: Aortic valve diseases are life-threatening conditions with increasing prevalence worldwide. Risk factors include gender, age, hypertension, dyslipidemia, and type 2 diabetes. Obesity is closely related to these risk factors and has been linked to a higher risk of developing aortic valve diseases. However, there is no specific guideline for managing aortic valve disease in patients with obesity, and the choice of valve type remains uncertain. Methods: A total of 130 patients with obesity who met the inclusion criteria underwent surgical aortic valve replacement. The patients were divided into two groups based on the type of prosthesis used. Among the study cohort, 50 patients received a bioprosthetic valve, while 80 patients received a mechanical valve. We compared these groups in terms of peri-operative characteristics and follow-up results. Statistical significance was determined using a p-value threshold of 0.05. Results: There were no significant differences in age, gender, body mass index, or cardiac comorbidities between the two groups. Preoperative blood results and echo findings also showed no significant differences. Intraoperative characteristics and postoperative outcomes, including mortality and acute kidney injury, did not differ significantly between the groups. In addition, BHVG patients had shorter ICU stays compared to MHVG patients without significance. Conclusion: Deliberate consideration is crucial when selecting valves for obese patients, particularly those with class II obesity. This is due to the potential influence of obesity on valve types, as well as the need to account for the possibility of bariatric surgery and its potential effects. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 0218-4923 1816-5370 |
| Relation: | Asian Cardiovascular & Thoracic Annals; Makale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı; https://doi.org/10.1177/02184923231197022; https://hdl.handle.net/20.500.12831/18491; 31; 667; 674; WOS:001060471000001; 2-s2.0-85170533922 |
| DOI: | 10.1177/02184923231197022 |
| الاتاحة: | https://doi.org/10.1177/02184923231197022 https://hdl.handle.net/20.500.12831/18491 |
| Rights: | info:eu-repo/semantics/closedAccess |
| رقم الانضمام: | edsbas.518327FA |
| قاعدة البيانات: | BASE |
| تدمد: | 02184923 18165370 |
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| DOI: | 10.1177/02184923231197022 |