A Systemic Review: Are Outcomes of Aortic Valve Repair ‘A Beneficial Alternative’ for patients with Aortic Valve Insufficiency?
Örebro University & MRCS Part A & B OSCE, Fellingsbro, Sweden
OBJECTIVE: The young adult patients with aortic valve insufficiency as a routine undergo aortic valve replacement (AVR) and are forced to take anticoagulation medications for the rest of life due to prosthetic valve. This leads to many post-operative complications and drastic outcomes. Whereas, the in-vogue alternative of aortic valve repair (AVr) is available and a lot more beneficial as well in longer time. Hence, the aim of this study was to affirm â€˜if all kind of outcomes of aortic valve repair are beneficial alternative for the patients suffering from aortic valve insufficiency in longer run.â€™
METHODS: Internet search using standard key words of â€˜Aortic Valve Repair and Outcomesâ€™ was used to find both white literature and grey literature with human, adult, English language and studies published after January 1st 2007 as limitations. Inclusion criteria was adult patients with aortic insufficiency with aortic valve repair as intervention with outcomes at least greater than five (5) years were considered. All the data was extracted using Microsoft excel for windows and was analyzed using GraphPad Prisma.
RESULTS: 20 studies comprising of 5369 patients were included in this systemic review, which included 2 randomized control trails, 7 clinical prospective studies, 8 retrospective studies and 3 observational studies.
CONCLUSIONS: This study suggests that aortic valve repair is a beneficial alternative available for younger adults suffering from aortic valve insufficiency in longer time.
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