Background: There has been a steady increase in cardiac valve surgery performed for concomitant aortic and mitral disease in the Philippine Heart Center. Although the frequency of double valve surgery (DVS) remains low compared to isolated valve surgery, more patients are undergoing the said procedure. The main objective of this paper is to examine the outcome of patients undergoing DVS at the Philippine Heart Center in terms of in-hospital mortality and postoperative complications.
Methods and Results: This is a report of a retrospective study of the 312 patients who underwent AV and MV surgery from 2000 to 2013 at the Philippine Heart Center. In-hospital mortality was 7.9% and was higher for men, patients with smaller BSA and those who had concomitant CABG. The most common post-operative complication was pulmonary for the majority of patients. The more common complication noted among those who died was renal failure requiring dialysis.
Conclusion: The in-hospital mortality for the Philippine Heart Center for DVS from 2000-2013 is 7.9%. The center's in-hospital rate was lower compared to those published by Hannan et al, Galloway et al, and Hellgren et al. Reports in these centers noted mortality ranging from 14-18%. The most common postoperative complication for all patients was pulmonary and the most common complication for those who died was acute renal failure requiring