OPEN ACCESS ARTICLE – Para-prosthetic Leaks Following Mitral Valve Replacement – Current Cardiology Reviews

Journal: Current Cardiology Reviews

Author(s): Melvin Dziubek, Charalampos Pierrakos, Louis Chebli, Helene Demanet, Ahmed Sanoussi, Pierre Wauthy*

Graphical Abstract:

 

Abstract:

Background: Mitral para-prosthetic leaks are rare but major complications of mitral heart valve replacements. When they must be re-operated, they are burdened with high mortality rates. We proposed to review our surgical experience in terms of approach and type of operation carried out.

Methods: Demographic, preoperative, intraoperative and postoperative characteristics of 34 patients benefited from a surgical treatment of mitral paravalvular leak, at the Brugmann University Hospital between 1996 and 2016, have been analysed retrospectively. We analysed the data to identify the risk factors of postoperative mortality. We then compared the data depending on the approach and the type of surgical treatment in order to compare the morbidity-mortality.

Results: The postoperative mortality rate was 11.7%. The presence of endocarditis and increase in lactate dehydrogenase were predictive factors of mortality. Cardiac complications and acute kidney failure were significantly more common in the decease population. Direct mitral paravalvular leak suturing was more frequently performed on early apparition, anterior and isolated leaks, whereas a mitral heart valve replacement was most often performed to cure active primary endocarditis. The incidence of complications and mortality rates were identical according to the approach and the type of operation performed. A mitral para-prosthetic leak recurrence was observed in 33% of the cases.

Conclusion: Surgical treatment of mitral para-prosthetic leaks is accompanied by a high mortality rate. The operative strategy plays a major role and can influence the morbidity-mortality encountered in those patients.

Read more here: http://www.eurekaselect.com/156994/article

 

Social Support Crucial for Health in Old Age

‘Man is a social animal’ – this statement has become a cliché over time but still holds its significance. The reason is that it is as true in practice as it is in theory. We see in our surroundings that the people who have families around them who care for them are visibly more satisfied than the ones who are alone. Apart from family if they are getting support from their friends, neighbors and society, then they find it much easier to maintain their health and wellbeing.

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This topic has gained much attention from the social scientists as well as medical and life scientists, as they are curious to find the social factors and their correlations that are vital for human ageing, morbidity and mortality. The findings have been clear that the people who were old and had little access to others and social support were found more susceptible to ailments and were leading rapidly towards death. Whereas those older ones who had people near them to talk to them, hear and address their problems, provide emotional as well as social support, were more satisfied and more capable of keeping healthy for long.

One of the important researches finding this correlation is published in the journal, Current Aging Science journal and can be read here:

Support and Social Contact as a Decisive Meta-Variable in Morbidity and Social Welfare of the Older Person

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