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Heart Valve Surgery
Manochihr Timorian.
Global Medical Complex Heart Institute, KABUL, Afghanistan.

OBJECTIVE:
Rheumatic heart disease is the most commune heart disease in Asian countries specially in Afghanistan, the age adjusted death rate for this heart disease is 27,57 per 100 000 people as published by data of world health organization (WHO)
METHODS:
we performed ATS and ST JUDE mechanical heart valve replacement in 148 patients between May 2015 and April 2018 at departments of cardiothoracic and vascular surgery global medical complex and amiri medical complex Kabul Afghanistan.
RESULTS:
CONCLUSIONS:
there was seen a few prosthetic valve complications after ATS and ST JUDE mechanical heart valve implantation (total number of implanted ATS mechanical heart valve were 70 and total number of implanted ST JUDE mechanical heart valve were 78), early mortality was (hospital mortality) 6 patients (4.05%) and late mortality during 3 years follow up was 10 patients ( 6.7% ). The international normalized ratio(INR) was maintained between (2.5-3.5) in both ATS and ST JUDE mechanical heart valves for mitral position and (2-3) for aortic position, hemodynamically ATS and ST JUDE mechanical heart valves are very good regarding trans valvular gradient and function but low prosthetic valve noise is just seen in ATS mechanical heart valve.


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