A comparative analysis of trends of echocardiographic parameters in double valve replacement cases involving the use of Del Nido’s and Saint Thomas’ cardioplegia for myocardial protection: A single-center study
Background: Del Nido and St. Thomas both cardioplegia solutions are used in valvular heart surgery for myocardial protection. Previously, there have been studies comparing intraoperative and postoperative parameters and outcomes. Here, we highlight the comparison of trends of echocardiographic param...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-05-01
|
| Series: | Heart India |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/heartindia.heartindia_89_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849425727214059520 |
|---|---|
| author | Archit Patel Kartik Patel Praveen Nayak Shobhit Mathur |
| author_facet | Archit Patel Kartik Patel Praveen Nayak Shobhit Mathur |
| author_sort | Archit Patel |
| collection | DOAJ |
| description | Background:
Del Nido and St. Thomas both cardioplegia solutions are used in valvular heart surgery for myocardial protection. Previously, there have been studies comparing intraoperative and postoperative parameters and outcomes. Here, we highlight the comparison of trends of echocardiographic parameters in double valve replacement cases.
Materials and Methods:
In this retrospective study, 70 double valve replacement cases (35 in each group) were selected from 2022 to 2023. All cases were operated in the same surgical unit. Preoperative, intraoperative, and postoperative data were collected from hospital records. Echocardiographical data were collected from preoperative echo, intraoperative trans-esophageal echocardiography, and postoperative echo in the intensive care unit done on the next day of surgery and at 6-month follow-up.
Results:
Baseline demographic characters were statistically nonsignificant in both groups. In postoperative period, there was a statistically significant difference was found in left ventricular ejection fraction/right ventricular systolic pressure and tricuspid annular systolic plane excursion in both the groups compared to preoperative values. However, the difference in these parameters between both groups came out statistically nonsignificant at intro, postoperative, and at 6-month follow-up.
Conclusion:
Despite having different cardioplegia used, postoperative dysfunction of both left ventricular and right ventricular is inevitable Hence, we conclude that both the solutions can be used with equal efficacy and safety in terms of dysfunction caused. |
| format | Article |
| id | doaj-art-06fd8a83c2fa4c7b90dd2b3767f2436b |
| institution | Kabale University |
| issn | 2321-449X 2321-6638 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart India |
| spelling | doaj-art-06fd8a83c2fa4c7b90dd2b3767f2436b2025-08-20T03:29:40ZengWolters Kluwer Medknow PublicationsHeart India2321-449X2321-66382025-05-0113210210810.4103/heartindia.heartindia_89_24A comparative analysis of trends of echocardiographic parameters in double valve replacement cases involving the use of Del Nido’s and Saint Thomas’ cardioplegia for myocardial protection: A single-center studyArchit PatelKartik PatelPraveen NayakShobhit MathurBackground: Del Nido and St. Thomas both cardioplegia solutions are used in valvular heart surgery for myocardial protection. Previously, there have been studies comparing intraoperative and postoperative parameters and outcomes. Here, we highlight the comparison of trends of echocardiographic parameters in double valve replacement cases. Materials and Methods: In this retrospective study, 70 double valve replacement cases (35 in each group) were selected from 2022 to 2023. All cases were operated in the same surgical unit. Preoperative, intraoperative, and postoperative data were collected from hospital records. Echocardiographical data were collected from preoperative echo, intraoperative trans-esophageal echocardiography, and postoperative echo in the intensive care unit done on the next day of surgery and at 6-month follow-up. Results: Baseline demographic characters were statistically nonsignificant in both groups. In postoperative period, there was a statistically significant difference was found in left ventricular ejection fraction/right ventricular systolic pressure and tricuspid annular systolic plane excursion in both the groups compared to preoperative values. However, the difference in these parameters between both groups came out statistically nonsignificant at intro, postoperative, and at 6-month follow-up. Conclusion: Despite having different cardioplegia used, postoperative dysfunction of both left ventricular and right ventricular is inevitable Hence, we conclude that both the solutions can be used with equal efficacy and safety in terms of dysfunction caused.https://journals.lww.com/10.4103/heartindia.heartindia_89_24del nido’s cardioplegiadouble valve replacementleft ventricular ejection fractionright ventricular systolic pressurest. thomas cardioplegiatricuspid annular systolic plane excursion |
| spellingShingle | Archit Patel Kartik Patel Praveen Nayak Shobhit Mathur A comparative analysis of trends of echocardiographic parameters in double valve replacement cases involving the use of Del Nido’s and Saint Thomas’ cardioplegia for myocardial protection: A single-center study Heart India del nido’s cardioplegia double valve replacement left ventricular ejection fraction right ventricular systolic pressure st. thomas cardioplegia tricuspid annular systolic plane excursion |
| title | A comparative analysis of trends of echocardiographic parameters in double valve replacement cases involving the use of Del Nido’s and Saint Thomas’ cardioplegia for myocardial protection: A single-center study |
| title_full | A comparative analysis of trends of echocardiographic parameters in double valve replacement cases involving the use of Del Nido’s and Saint Thomas’ cardioplegia for myocardial protection: A single-center study |
| title_fullStr | A comparative analysis of trends of echocardiographic parameters in double valve replacement cases involving the use of Del Nido’s and Saint Thomas’ cardioplegia for myocardial protection: A single-center study |
| title_full_unstemmed | A comparative analysis of trends of echocardiographic parameters in double valve replacement cases involving the use of Del Nido’s and Saint Thomas’ cardioplegia for myocardial protection: A single-center study |
| title_short | A comparative analysis of trends of echocardiographic parameters in double valve replacement cases involving the use of Del Nido’s and Saint Thomas’ cardioplegia for myocardial protection: A single-center study |
| title_sort | comparative analysis of trends of echocardiographic parameters in double valve replacement cases involving the use of del nido s and saint thomas cardioplegia for myocardial protection a single center study |
| topic | del nido’s cardioplegia double valve replacement left ventricular ejection fraction right ventricular systolic pressure st. thomas cardioplegia tricuspid annular systolic plane excursion |
| url | https://journals.lww.com/10.4103/heartindia.heartindia_89_24 |
| work_keys_str_mv | AT architpatel acomparativeanalysisoftrendsofechocardiographicparametersindoublevalvereplacementcasesinvolvingtheuseofdelnidosandsaintthomascardioplegiaformyocardialprotectionasinglecenterstudy AT kartikpatel acomparativeanalysisoftrendsofechocardiographicparametersindoublevalvereplacementcasesinvolvingtheuseofdelnidosandsaintthomascardioplegiaformyocardialprotectionasinglecenterstudy AT praveennayak acomparativeanalysisoftrendsofechocardiographicparametersindoublevalvereplacementcasesinvolvingtheuseofdelnidosandsaintthomascardioplegiaformyocardialprotectionasinglecenterstudy AT shobhitmathur acomparativeanalysisoftrendsofechocardiographicparametersindoublevalvereplacementcasesinvolvingtheuseofdelnidosandsaintthomascardioplegiaformyocardialprotectionasinglecenterstudy AT architpatel comparativeanalysisoftrendsofechocardiographicparametersindoublevalvereplacementcasesinvolvingtheuseofdelnidosandsaintthomascardioplegiaformyocardialprotectionasinglecenterstudy AT kartikpatel comparativeanalysisoftrendsofechocardiographicparametersindoublevalvereplacementcasesinvolvingtheuseofdelnidosandsaintthomascardioplegiaformyocardialprotectionasinglecenterstudy AT praveennayak comparativeanalysisoftrendsofechocardiographicparametersindoublevalvereplacementcasesinvolvingtheuseofdelnidosandsaintthomascardioplegiaformyocardialprotectionasinglecenterstudy AT shobhitmathur comparativeanalysisoftrendsofechocardiographicparametersindoublevalvereplacementcasesinvolvingtheuseofdelnidosandsaintthomascardioplegiaformyocardialprotectionasinglecenterstudy |