Comparative Evaluation of Mortality and Hemodynamic Performance Between ATS and ST JUDE Mechanical Heart Valves in Mitral and Aortic Positions

Mohammad Rafi Hamidi; Manizha Meena; Mezhgan Zaher; Mohammad Hussain Shiwa; Abdul Wahid Hussaini; Assadullah Hassani; Manochihr Timorian

doi:doi:10.11648/j.ijcts.20200606.11

Comparative Evaluation of Mortality and Hemodynamic Performance Between ATS and ST JUDE Mechanical Heart Valves in Mitral and Aortic Positions

Mohammad Rafi Hamidi, Manizha Meena, Mezhgan Zaher, Mohammad Hussain Shiwa, Abdul Wahid Hussaini, Assadullah Hassani, Manochihr Timorian

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 6, Issue 6)

Received: 15 October 2020 Accepted: 26 October 2020 Published: 19 November 2020

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Abstract

Background: Rheumatic heart disease is the most common heart disease in Asian countries especially in Afghanistan, the age adjusted death rate for this heart disease is 27,57 per 100 000 people as published by data of the World Health Organization (WHO). ST JUDE mechanical heart valve first time implanted in October 1977 and quickly became the gold standard for subsequent valves, and ATS medical international developed a mechanical heart valve that has been in use since 1992, these mechanical heart valves started implantation in Afghanistan during 2012. We presented a result of 148 patients who have undergone valve replacement in mitral and aortic position with ATS and ST JUDE mechanical heart valves at departments of cardiothoracic and vascular surgery amiri medical complex and global medical complex heart institute Kabul Afghanistan. Method and results: we performed ATS and ST JUDE mechanical heart valve replacement in 148 patients between May 2015 and April 2018 at both the Department of Cardiothoracic and Vascular Surgery Global Medical Complex heart institute and Amiri Medical Complex, Kabul Afghanistan. Male patients were 69 (46.6%) and female patients were 79 (53.3%), age range was between 11-65 years, 94 (63.5%) patients under went mitral valve replacement, for 38 (25.6%) patients performed aortic valve replacement and 16 (10.8%) patients required double valve replacement, overall mortality was 16 (10.8%) patients for mitral, aortic and double valve replacement. The early mortality (hospital mortality) was 4.05% and late mortality during a 3 year follow up was 6.7%. Conclusion: there were seen a few prosthetic valve complications after ATS and ST JUDE mechanical heart valve implantation (total number of implanted ATS mechanical heart valve were 70 and total number of implanted ST JUDE mechanical heart valve were 78), early mortality was (hospital mortality) 6 patients (4.05%) and late mortality during a 3 year follow up was 10 patients (6.7%). The international normalized ratio (INR) was maintained between (2.5-3.5) in both ATS and ST JUDE mechanical heart valves for mitral position and (2-3) for aortic position, hemodynamically ATS and ST JUDE mechanical heart valves are very good regarding trans valvular gradient and function but low prosthetic valve noise is just seen in ATS mechanical heart valve.

Published in	International Journal of Cardiovascular and Thoracic Surgery (Volume 6, Issue 6)
DOI	10.11648/j.ijcts.20200606.11
Page(s)	66-69
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Cardiac Surgery, Valve Surgery, Mitral and Aortic Valve Replacement

References

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[2]	Akins CW. Results with mechanical cardiac valvular prostheses. Ann Thorac Surg 1995; 60: 1836–44.
[3]	Edmunds LH Jr, Clark RE, Cohn LH, Grunkemeier GL, Miller DC, Weisel RD. Guidelines for reporting morbidity and mortality after cardiac valvular operations. The American Association for Thoracic Sugery, Ad Hoc Liaison Committee for Standardizing Definitions of Prosthetic Heart Valve Morbidity. Ann Thorac Surg 1996; 62: 932–5.
[4]	Sezai A, Shiono M, Orime Y, et al. Evaluation of valve sound and its effects on ATS prosthetic valves in patients’ quality of life. Ann Thorac Surg 2000; 69: 507–12.
[5]	Gao G, Wu Y, Grunkemeier GL, Furnary AP, Starr A. Forty-year survival with the Starr-Edwards heart valve prosthesis. J Heart Valve Dis 2004; 13: 91
[6]	Tsukamoto S, Shiono M, Orime Y, et al. Macroscopic aspects of cloth-covered Starr-Edwards prostheses at reoperation: what the precursory valve teaches us. J Heart Valve Dis 1998; 7: 556–60.
[7]	Sezai Y. Experience with the St. Jude Medical prosthesis. In: DeBakey ME ed.; Advances in Cardiac Valves: Clinical Perspectives. USA: Yorke Medical Books, 1983; pp 88–102.
[8]	Sezai A, Shiono M, Akiyama K, et al. Evaluation of St. Jude Medical valve’s long-term function by Doppler echocardiography. Ann Thorac Cardiovascular Surg 2001; 7: 216–22.
[9]	Arom KV, Nicoloff DM, Kersten TE, Northrup WF 3rd, Lindsay WG, Emery RW. Ten years’ experience with the St. Jude Medical valve prosthesis. Ann Thorac Surg 1989; 47: 831–7.
[10]	Kratz JM, Crawford FA Jr, Sade RM, Crumbley AJ, Stroud MR. St. Jude prosthesis for aortic and mitral valve replacement: a ten-year experience. Ann Thorac Surg 1993; 56: 462–8.
[11]	Nakano K, Koyanagi H, Hashimoto A, et al. Twelve years’ experience with the St. Jude Medical valve prosthesis. Ann Thorac Surg 1994; 57: 697–703.
[12]	Fernandez J, Laub GW, Adkins MS, et al. Early and late-phase events after valve replacement with the St. Jude Medical prosthesis in 1200 patients. J Thorac Cardiovascular Surg 1994; 107: 394–407.
[13]	Zellner JL, Kratz JM, Crumbley AJ 3rd, et al. Longterm experience with the St. Jude Medical valve prosthesis. Ann Thorac Surg 1999; 68: 1210–8.
[14]	Hasegawa M. Clinical evaluation of ATS prosthetic valve by Doppler echocardiography: comparison with St. Jude Medical (SJM) valve. Ann Thorac cardiovascular Surg 2000; 6: 247–51.
[15]	Tayama E, Feng Z, Oda T, et al. ATS prosthetic valve motion: an in vitro analysis. J Heart Valve Dis 2000; 9: 408–14.
[16]	Murday AJ, Hochstitzky A, Mansfield J, et al. A prospective controlled trial St. Jude versus Starr Edwards aortic and mitral valve prostheses. Ann Thorac Surg 2003; 76: 66–74. 28.

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Mohammad Rafi Hamidi, Manizha Meena, Mezhgan Zaher, Mohammad Hussain Shiwa, Abdul Wahid Hussaini, et al. (2020). Comparative Evaluation of Mortality and Hemodynamic Performance Between ATS and ST JUDE Mechanical Heart Valves in Mitral and Aortic Positions. International Journal of Cardiovascular and Thoracic Surgery, 6(6), 66-69. https://doi.org/10.11648/j.ijcts.20200606.11

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Mohammad Rafi Hamidi; Manizha Meena; Mezhgan Zaher; Mohammad Hussain Shiwa; Abdul Wahid Hussaini, et al. Comparative Evaluation of Mortality and Hemodynamic Performance Between ATS and ST JUDE Mechanical Heart Valves in Mitral and Aortic Positions. Int. J. Cardiovasc. Thorac. Surg. 2020, 6(6), 66-69. doi: 10.11648/j.ijcts.20200606.11

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AMA Style

Mohammad Rafi Hamidi, Manizha Meena, Mezhgan Zaher, Mohammad Hussain Shiwa, Abdul Wahid Hussaini, et al. Comparative Evaluation of Mortality and Hemodynamic Performance Between ATS and ST JUDE Mechanical Heart Valves in Mitral and Aortic Positions. Int J Cardiovasc Thorac Surg. 2020;6(6):66-69. doi: 10.11648/j.ijcts.20200606.11

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@article{10.11648/j.ijcts.20200606.11,
  author = {Mohammad Rafi Hamidi and Manizha Meena and Mezhgan Zaher and Mohammad Hussain Shiwa and Abdul Wahid Hussaini and Assadullah Hassani and Manochihr Timorian},
  title = {Comparative Evaluation of Mortality and Hemodynamic Performance Between ATS and ST JUDE Mechanical Heart Valves in Mitral and Aortic Positions},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {6},
  number = {6},
  pages = {66-69},
  doi = {10.11648/j.ijcts.20200606.11},
  url = {https://doi.org/10.11648/j.ijcts.20200606.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20200606.11},
  abstract = {Background: Rheumatic heart disease is the most common heart disease in Asian countries especially in Afghanistan, the age adjusted death rate for this heart disease is 27,57 per 100 000 people as published by data of the World Health Organization (WHO). ST JUDE mechanical heart valve first time implanted in October 1977 and quickly became the gold standard for subsequent valves, and ATS medical international developed a mechanical heart valve that has been in use since 1992, these mechanical heart valves started implantation in Afghanistan during 2012. We presented a result of 148 patients who have undergone valve replacement in mitral and aortic position with ATS and ST JUDE mechanical heart valves at departments of cardiothoracic and vascular surgery amiri medical complex and global medical complex heart institute Kabul Afghanistan. Method and results: we performed ATS and ST JUDE mechanical heart valve replacement in 148 patients between May 2015 and April 2018 at both the Department of Cardiothoracic and Vascular Surgery Global Medical Complex heart institute and Amiri Medical Complex, Kabul Afghanistan. Male patients were 69 (46.6%) and female patients were 79 (53.3%), age range was between 11-65 years, 94 (63.5%) patients under went mitral valve replacement, for 38 (25.6%) patients performed aortic valve replacement and 16 (10.8%) patients required double valve replacement, overall mortality was 16 (10.8%) patients for mitral, aortic and double valve replacement. The early mortality (hospital mortality) was 4.05% and late mortality during a 3 year follow up was 6.7%. Conclusion: there were seen a few prosthetic valve complications after ATS and ST JUDE mechanical heart valve implantation (total number of implanted ATS mechanical heart valve were 70 and total number of implanted ST JUDE mechanical heart valve were 78), early mortality was (hospital mortality) 6 patients (4.05%) and late mortality during a 3 year follow up was 10 patients (6.7%). The international normalized ratio (INR) was maintained between (2.5-3.5) in both ATS and ST JUDE mechanical heart valves for mitral position and (2-3) for aortic position, hemodynamically ATS and ST JUDE mechanical heart valves are very good regarding trans valvular gradient and function but low prosthetic valve noise is just seen in ATS mechanical heart valve.},
 year = {2020}
}

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TY  - JOUR
T1  - Comparative Evaluation of Mortality and Hemodynamic Performance Between ATS and ST JUDE Mechanical Heart Valves in Mitral and Aortic Positions
AU  - Mohammad Rafi Hamidi
AU  - Manizha Meena
AU  - Mezhgan Zaher
AU  - Mohammad Hussain Shiwa
AU  - Abdul Wahid Hussaini
AU  - Assadullah Hassani
AU  - Manochihr Timorian
Y1  - 2020/11/19
PY  - 2020
N1  - https://doi.org/10.11648/j.ijcts.20200606.11
DO  - 10.11648/j.ijcts.20200606.11
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 66
EP  - 69
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20200606.11
AB  - Background: Rheumatic heart disease is the most common heart disease in Asian countries especially in Afghanistan, the age adjusted death rate for this heart disease is 27,57 per 100 000 people as published by data of the World Health Organization (WHO). ST JUDE mechanical heart valve first time implanted in October 1977 and quickly became the gold standard for subsequent valves, and ATS medical international developed a mechanical heart valve that has been in use since 1992, these mechanical heart valves started implantation in Afghanistan during 2012. We presented a result of 148 patients who have undergone valve replacement in mitral and aortic position with ATS and ST JUDE mechanical heart valves at departments of cardiothoracic and vascular surgery amiri medical complex and global medical complex heart institute Kabul Afghanistan. Method and results: we performed ATS and ST JUDE mechanical heart valve replacement in 148 patients between May 2015 and April 2018 at both the Department of Cardiothoracic and Vascular Surgery Global Medical Complex heart institute and Amiri Medical Complex, Kabul Afghanistan. Male patients were 69 (46.6%) and female patients were 79 (53.3%), age range was between 11-65 years, 94 (63.5%) patients under went mitral valve replacement, for 38 (25.6%) patients performed aortic valve replacement and 16 (10.8%) patients required double valve replacement, overall mortality was 16 (10.8%) patients for mitral, aortic and double valve replacement. The early mortality (hospital mortality) was 4.05% and late mortality during a 3 year follow up was 6.7%. Conclusion: there were seen a few prosthetic valve complications after ATS and ST JUDE mechanical heart valve implantation (total number of implanted ATS mechanical heart valve were 70 and total number of implanted ST JUDE mechanical heart valve were 78), early mortality was (hospital mortality) 6 patients (4.05%) and late mortality during a 3 year follow up was 10 patients (6.7%). The international normalized ratio (INR) was maintained between (2.5-3.5) in both ATS and ST JUDE mechanical heart valves for mitral position and (2-3) for aortic position, hemodynamically ATS and ST JUDE mechanical heart valves are very good regarding trans valvular gradient and function but low prosthetic valve noise is just seen in ATS mechanical heart valve.
VL  - 6
IS  - 6
ER  -

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Author Information

Mohammad Rafi Hamidi

Deputy ARCS Health, Senior Fellow Department of Cardiothoracic and Vascular Surgery Global Medical Complex Heart Institute, Kabul, Afghanistan
Manizha Meena

Fellows Department of Cardiothoracic and Vascular Surgery
Mezhgan Zaher

Fellows Department of Cardiothoracic and Vascular Surgery
Mohammad Hussain Shiwa

Fellows Department of Cardiothoracic and Vascular Surgery
Abdul Wahid Hussaini

Fellows Department of Cardiothoracic and Vascular Surgery
Assadullah Hassani

Head Department of Cardiology, Global Medical Complex Heart Institute, Kabul, Afghanistan
Manochihr Timorian

Head Department of Cardiothoracic and Vascular Surgery Global Medical Complex Heart Institute, Kabul, Afghanistan

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APA Style

Mohammad Rafi Hamidi, Manizha Meena, Mezhgan Zaher, Mohammad Hussain Shiwa, Abdul Wahid Hussaini, et al. (2020). Comparative Evaluation of Mortality and Hemodynamic Performance Between ATS and ST JUDE Mechanical Heart Valves in Mitral and Aortic Positions. International Journal of Cardiovascular and Thoracic Surgery, 6(6), 66-69. https://doi.org/10.11648/j.ijcts.20200606.11

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ACS Style

Mohammad Rafi Hamidi; Manizha Meena; Mezhgan Zaher; Mohammad Hussain Shiwa; Abdul Wahid Hussaini, et al. Comparative Evaluation of Mortality and Hemodynamic Performance Between ATS and ST JUDE Mechanical Heart Valves in Mitral and Aortic Positions. Int. J. Cardiovasc. Thorac. Surg. 2020, 6(6), 66-69. doi: 10.11648/j.ijcts.20200606.11

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AMA Style

Mohammad Rafi Hamidi, Manizha Meena, Mezhgan Zaher, Mohammad Hussain Shiwa, Abdul Wahid Hussaini, et al. Comparative Evaluation of Mortality and Hemodynamic Performance Between ATS and ST JUDE Mechanical Heart Valves in Mitral and Aortic Positions. Int J Cardiovasc Thorac Surg. 2020;6(6):66-69. doi: 10.11648/j.ijcts.20200606.11

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@article{10.11648/j.ijcts.20200606.11,
  author = {Mohammad Rafi Hamidi and Manizha Meena and Mezhgan Zaher and Mohammad Hussain Shiwa and Abdul Wahid Hussaini and Assadullah Hassani and Manochihr Timorian},
  title = {Comparative Evaluation of Mortality and Hemodynamic Performance Between ATS and ST JUDE Mechanical Heart Valves in Mitral and Aortic Positions},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {6},
  number = {6},
  pages = {66-69},
  doi = {10.11648/j.ijcts.20200606.11},
  url = {https://doi.org/10.11648/j.ijcts.20200606.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20200606.11},
  abstract = {Background: Rheumatic heart disease is the most common heart disease in Asian countries especially in Afghanistan, the age adjusted death rate for this heart disease is 27,57 per 100 000 people as published by data of the World Health Organization (WHO). ST JUDE mechanical heart valve first time implanted in October 1977 and quickly became the gold standard for subsequent valves, and ATS medical international developed a mechanical heart valve that has been in use since 1992, these mechanical heart valves started implantation in Afghanistan during 2012. We presented a result of 148 patients who have undergone valve replacement in mitral and aortic position with ATS and ST JUDE mechanical heart valves at departments of cardiothoracic and vascular surgery amiri medical complex and global medical complex heart institute Kabul Afghanistan. Method and results: we performed ATS and ST JUDE mechanical heart valve replacement in 148 patients between May 2015 and April 2018 at both the Department of Cardiothoracic and Vascular Surgery Global Medical Complex heart institute and Amiri Medical Complex, Kabul Afghanistan. Male patients were 69 (46.6%) and female patients were 79 (53.3%), age range was between 11-65 years, 94 (63.5%) patients under went mitral valve replacement, for 38 (25.6%) patients performed aortic valve replacement and 16 (10.8%) patients required double valve replacement, overall mortality was 16 (10.8%) patients for mitral, aortic and double valve replacement. The early mortality (hospital mortality) was 4.05% and late mortality during a 3 year follow up was 6.7%. Conclusion: there were seen a few prosthetic valve complications after ATS and ST JUDE mechanical heart valve implantation (total number of implanted ATS mechanical heart valve were 70 and total number of implanted ST JUDE mechanical heart valve were 78), early mortality was (hospital mortality) 6 patients (4.05%) and late mortality during a 3 year follow up was 10 patients (6.7%). The international normalized ratio (INR) was maintained between (2.5-3.5) in both ATS and ST JUDE mechanical heart valves for mitral position and (2-3) for aortic position, hemodynamically ATS and ST JUDE mechanical heart valves are very good regarding trans valvular gradient and function but low prosthetic valve noise is just seen in ATS mechanical heart valve.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Comparative Evaluation of Mortality and Hemodynamic Performance Between ATS and ST JUDE Mechanical Heart Valves in Mitral and Aortic Positions
AU  - Mohammad Rafi Hamidi
AU  - Manizha Meena
AU  - Mezhgan Zaher
AU  - Mohammad Hussain Shiwa
AU  - Abdul Wahid Hussaini
AU  - Assadullah Hassani
AU  - Manochihr Timorian
Y1  - 2020/11/19
PY  - 2020
N1  - https://doi.org/10.11648/j.ijcts.20200606.11
DO  - 10.11648/j.ijcts.20200606.11
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 66
EP  - 69
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20200606.11
AB  - Background: Rheumatic heart disease is the most common heart disease in Asian countries especially in Afghanistan, the age adjusted death rate for this heart disease is 27,57 per 100 000 people as published by data of the World Health Organization (WHO). ST JUDE mechanical heart valve first time implanted in October 1977 and quickly became the gold standard for subsequent valves, and ATS medical international developed a mechanical heart valve that has been in use since 1992, these mechanical heart valves started implantation in Afghanistan during 2012. We presented a result of 148 patients who have undergone valve replacement in mitral and aortic position with ATS and ST JUDE mechanical heart valves at departments of cardiothoracic and vascular surgery amiri medical complex and global medical complex heart institute Kabul Afghanistan. Method and results: we performed ATS and ST JUDE mechanical heart valve replacement in 148 patients between May 2015 and April 2018 at both the Department of Cardiothoracic and Vascular Surgery Global Medical Complex heart institute and Amiri Medical Complex, Kabul Afghanistan. Male patients were 69 (46.6%) and female patients were 79 (53.3%), age range was between 11-65 years, 94 (63.5%) patients under went mitral valve replacement, for 38 (25.6%) patients performed aortic valve replacement and 16 (10.8%) patients required double valve replacement, overall mortality was 16 (10.8%) patients for mitral, aortic and double valve replacement. The early mortality (hospital mortality) was 4.05% and late mortality during a 3 year follow up was 6.7%. Conclusion: there were seen a few prosthetic valve complications after ATS and ST JUDE mechanical heart valve implantation (total number of implanted ATS mechanical heart valve were 70 and total number of implanted ST JUDE mechanical heart valve were 78), early mortality was (hospital mortality) 6 patients (4.05%) and late mortality during a 3 year follow up was 10 patients (6.7%). The international normalized ratio (INR) was maintained between (2.5-3.5) in both ATS and ST JUDE mechanical heart valves for mitral position and (2-3) for aortic position, hemodynamically ATS and ST JUDE mechanical heart valves are very good regarding trans valvular gradient and function but low prosthetic valve noise is just seen in ATS mechanical heart valve.
VL  - 6
IS  - 6
ER  -

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