Abstract

Background: Of all the subsystems of a hospital, resource consumed, use of specialized technical manpower, technology and skill, inpatient care and some factors play an important role in surgical outcome of valve replacement patients. Preoperative ejection fraction is very important in determining the out come of valve replacement surgery.

Aims: The study was conducted, to observe the significance of various factors influencing the out come of valve replacement surgery.

Methods: The admission and discharge record of all the patients was recorded from the report book. Hospital files of all the patients were checked to know complete biodata, symptomatology, clinical findings, diagnosis, outcome of management, besides the morbidity and mortality.

Results: A total of 70 patients had double valve replacement done. Male patients were more with mean age of 33 years, 42 patients had definite history of rheumatic fever and 3% of the patients had mitral restenosis.

Conclusion: Regurgitant lesions fair worse than the patients receiving double valve replacement of any other combination. Surgical intervention should be done before irreversible left ventricular dysfunction sets in. Left ventricular function is the single most important predictor of good postoperative outcome. Patients with good left ventricular function have quick post operative recovery, short hospital stay, improvement in functional class and excellent long term results.

Keywords: Left ventricular function, Double valve replacement.

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