OUTCOME OF VALVE SURGERY AT RAJENDRA INSTITUTE OF MEDICAL SCIENCES RANCHI, JHARKHAND, INDIA: 5 YEARS FOLLOW UP

Background: Rheumatic heart disease is a disease of poverty and negligence. It is very much prevalent in India leading to arrhythmia, congestive heart failure, multi-Valvular heart disease requiring open heart surgery in the form of valve repair or replacement. Last five years patients operated at RIMS Ranchi were included in this study. 1. To Aims And Objective: compare our follow up strategy with recent trend of follow up in valve surgery worldwide. 2. To know complications related to valve surgery, how to minimize and overcome with complications. Material & Methods: This retrospective review is based on a single Institution experience between February 1, 2019 and January 31, 2024 with 300 consecutive cases males (n 166) and female (n 134) surgeries, in which RHD was the primary diagnosis to ascertain valve surgery and outcomes expected for surgical treatment. Valve replacement and repair were performed as surgical procedure. Mechanical prosthetic heart valve (Tilting Disk/Bi-leaflet), Tissue valve, valve ring were used as prosthesis. All patients underwent echocardiography to assess successful valve surgery. Results: Out of 300 patients underwent valvular surgery on regular follow up we found following complications 1. Deranged INR-6 2. Bleeding: Intracranial or generalized- 4 3. Stuck valve-3 4. Recurrence of Valvular lesson in case of repair-1 5. Infective Endocarditis-1, 6. Stroke-3. Conclusion: Rheumatic heart disease is endemic in India. Early diagnosis and prevention is the key to limit the disease burden. Timely intervention and surgical intervention in suitable cases is best way to treat the patient. Regular follow up is compulsory to identify complications and its management. Valvular heart surgery is very safe in Rajendra Institute of Medical Sciences, Ranchi with risks equivalent to National and International standards. Most of the complications can be treated if reported early.