Objectives:
To study the outcome of aortic and mitral valves replacement with mechanical valves in children.
Methodology:
Retrospective descriptive hospital based study.The data was collected manually by the authors and analyzed by a computer programe(SPSS) in the period between Jan 2003- Dec 2008,Ahmed Gasim Cardiac Center,Sudan.
Results:
Nine patients underwent mitral and aortic valve replacement,six of them were males.Seven of patients were in the age group 12-15 years. NYHA II was 33%,NYHA III 44% and NYHA IV constituted 22%.The mean left atrial dimension was 5.3 cm.Mitral regurgitation with Aortic regurgitation constituted 55.6% of cases,combined mitral disease with aortic regugitation and combined aortic disease with mitral regurgitation had equal percentages of 22.2%.Eight of the cases had LVEF of >40%.Pulmonary artery pressure of >50mmHg was detected in three and less than 50mmHg in six cases.The mean intubation time was 17.3 hours and the mean intensive care stay was 37 hours.It was difficult to control the INR in one patient.There was one late mortality caused by CCF.
Conclusion:
Early outcome of double valve replacement is excellent,however,anticoagulation remains an important issue in developing countries.