Post-operative course and follow-up
Average ICU stay was 2.4 ± 1.1 and hospital stay was 6.7 ± 1.2 in isolated AV replacement. In MI SAVR approach, shorter hospital and ICU stay was observed. Patient requiring combined procedure had longer hospital and ICU stay 10.9 ± 2.4 & 3.9 ± 1.6 respectively. Three patient required ventilation for > 24 hours and all of these were AVR + CABG patients. New onset atrial fibrillation was noticed in 4 patients and 3 patients had rising serum creatinine and they all responded to medical management. (Table 4)
There were no in-hospital mortality. All patients were in good clinical condition and maintained NYHA class I during entire follow-up period. There was no event observed related to implanted valve dysfunction.