Objective To observe the midterm haemodynamic manifestation of the home made C-L pugestrut tilting disc mechanical valve in aortic valve replacement, and to evaluate its function. Methods Twenty patients underwent aortic valve replacement over 5 years were collected and divided into two groups, the C-L pugestrut group (n=10):aortic valve was replaced by home-made C-L pugestrut tilting disc mechanical valve(21mm); Medtronic-Hall group (n=10):aortic valve was replaced by Medtronic-Hall mechanical valve (21mm). The peak transprosthetic gradients (△P), mean transprosthetic gradients (△Pm)and effective orifice area(EOA) at rest were compared between two groups. Results At rest, △P of the C-L pugestrut group and Medtronic-Hall group were 11.63±3.23mmHg vs. 9. 78±3. 35mmHg; △Pm of the C-L pugestrut group and Medtronic-Hall group were 6. 25±2. 32 mmHg vs. 5.85±2.32mmHg: EOA of the C-L pugestrut group and Medtronic-Hall group were 1.07±0.17 cm2 vs. 1.25±0.27 cm2. There was no statistically significance in △P, △Pm and EOA between two groups(P〉0.05). Conclusions The midterm haemodynamic results of the home-made C-L pugestrut tilting disc mechanical valve show that it has comparable haemodynamic results to those of Medtronic-Hall mechanical valve ,and it has well-done function. The home-made C-L pugestrut valve is one of the reliable mechanical heart valves.
Citation: JIN Hai,ZHOU Liangjian,WANG Ersong,et al .. Midterm Haemodynamic Assessment of the Home-made C-L Pugestrut Tilting Disc Mechanical Valve in Aortic Valve Replacement. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2006, 13(4): 218-220. doi: Copy