Left Ventricular Mass Regression in Aortic Valve Replacement for Severe Aortic Stenosis
Sadiq Ahmed Sheriff, Ashok Kumar K., Rakesh Seetharaman, Siddhart Pahwa,
1,3 Assistant Professor 2 Professor, Department of Cardiac Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bannerughatta Main Road, Jayanagar 9th Block, Bangalore 560069, Karnataka, India. 4 Consultant, Cardiac Surgeon, Amri Hospitals, Salt Lake, Kolkata, West Bengal 700098, India.
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Aortic stenosis is a common cause of valve replacement, and chronic aortic stenosis increases left ventricular wall tension with subsequent ventricular hypertrophy, dilatation, and failure. The prognosis for such patients is extremely poor if valve replacement is not performed and severe ventricular impairment is not in itself a contraindication to surgery. Early and conflicting reports have examined the peri-operative risk of patients with reduced LV systolic function undergoing aortic valve surgery. Avoiding surgical intervention has been advocated recently in such patients, however, other reports have demonstrated that aortic valve replacement in patients with aortic stenosis and reduced left ventricular function has encouraging long-term survival with improved functional class. Our study has been performed to assess the early left ventricular mass regression in patients undergoing aortic valve replacement for severe aortic stenosis with impaired LV systolic function.
Corresponding Author : Rakesh Seetharaman, Assistant Professor, Department of Cardiac Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bannerughatta Main Road, Jayanagar 9th Block, Bangalore 560069 Karnataka, India.
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