Clinical Evaluation Of The Ats Valve Replacement

Kim, Hark Jei; Cho, Seong Joon; Lyu, Young Jin; Cho, Won Min; Sohn, Young Sang; Choi, Young Ho

Abstract

With the introduction of new cardiac prosthesis, it behooves surgeons and cardiologists to monitor its performance carefully. ATS (Advancing The Standard) prosthetic valve has been used first in Guro hospital in Korea, since August 1994. Between August 1994 and July 1995, 21 patients received 28 ATS prosthesis( 9 aortic, 19 mitral ). 19mitral valves were implanted through the "Extended Transseptal Approach". 10 were male and 11 were female, ranging from 20 to 54 years of age( Mean age = 37 years). The follow up period 126 patient-months(mean 6.1 months),varied from 1 month to 12 months. NYHA functional class was improved significantly, from 2.9+/-0.7 preoperatively to 1.4+/-0.5 postoperatively. Ejection fraction was also improved from 55.5+/-6.1% preoperatively to 59.8+/-7.4% postoperatively. Lactic dehydrogenase(LDH) was used as an indicator of hemolysis.The value of LDH changed from 483.3+/-162 IU/L preoperatively to 527+/-274 IU/L postoperatively with no clinical significance. Valve related complications, such as thromboembolism, valve thrombosis, anticoagulant related hemorrhage and prosthetic valve endocarditis did not develop except one anticoagulant related intracranial hemorrhage. There were no mortalities. This experience encourages us to continue using the ATS prosthetic valve, and this study will help those patients who need to have their heart valves replaced.