| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 53, 764-771, Copyright © 1992 by The Society of Thoracic Surgeons
RW Frater, NW Salomon, WG Rainer, DM Cosgrove 3d and E Wickham
The Edwards pericardial aortic valve has unique design features that
minimize cusp stress and reduce abrasion wear. Wear tests and in vivo fluid
dynamic tests have shown superior performance compared with other
bioprostheses. Between August 1981 and July 1985, 719 isolated aortic
valves were implanted in 10 US centers. Patients were aged 18 to 90 years
(mean, 64 years). Men were 63.3% of the patients. Aortic stenosis was
present preoperatively in 63.4% of patients. New York Heart Association
functional classes III and IV were assigned to 62% of the patients. Valve
sizes were 21 mm or less in 49% of patients. Concomitant procedures (most
often coronary artery bypass grafting) were performed in 48% of patients.
Hospital mortality was 4.7%. There was one valve-related death due to
anticoagulant hemorrhage. Late mortality yielded 23 valve-related deaths:
endocarditis (13), anticoagulant hemorrhage (4), thromboembolism (3),
structural (2), and pannus overgrowth (1). Freedom from valve-related death
at 7 years was 95.5%. Regarding valve survival, cusp tears were not seen.
There were 11 calcified valves and eight explants (57 to 107 months).
Seven-year freedom from all valve reoperation was 95.5%, with 11% of the
patients receiving warfarin sodium, freedom of the total series from
hemorrhage at 7 years was 93.3%, and from major thromboembolism, 95.8%.
Echocardiographic follow-up of hemodynamics at 7 years yielded the
following calculated effective orifice areas: 19 mm, 1 cm2; 21 mm, 1.3 cm2;
and 23 mm, 1.4 cm2. Average mean gradient for 19-mm valves was 15 mm Hg.
New York Heart Association class improved in 78% of the patients. The
Carpentier-Edwards pericardial valve, carefully studied by the Food and
Drug Administration guidelines, is easy to use and has excellent
hemodynamics.(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
The Carpentier-Edwards pericardial aortic valve: intermediate results
Cardiothoracic Surgery, Montefiore Medical Center, Bronx, New York 10467.
This article has been cited by other articles:
|
|
 |
|
  2006 WRITING COMMITTEE MEMBERS, R. O. Bonow, B. A. Carabello, K. Chatterjee, A. C. de Leon Jr, D. P. Faxon, M. D. Freed, W. H. Gaasch, B. W. Lytle, R. A. Nishimura, et al. 2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons Circulation, October 7, 2008; 118(15): e523 - e661. [Full Text] [PDF]
|
|
|
|
 |
|
 R. O. Bonow, B. A. Carabello, K. Chatterjee, A. C. de Leon Jr, D. P. Faxon, M. D. Freed, W. H. Gaasch, B. W. Lytle, R. A. Nishimura, P. T. O'Gara, et al. 2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease) Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons J. Am. Coll. Cardiol., September 23, 2008; 52(13): e1 - e142. [Full Text] [PDF]
|
|
|
|
 |
|
 I. M. Wagner, W. B. Eichinger, S. Bleiziffer, F. Botzenhardt, I. Gebauer, R. Guenzinger, R. Bauernschmitt, and R. Lange Influence of completely supra-annular placement of bioprostheses on exercise hemodynamics in patients with a small aortic annulus J. Thorac. Cardiovasc. Surg., May 1, 2007; 133(5): 1234 - 1241. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. O. Bonow, B. A. Carabello, K. Chatterjee, A. C. de Leon Jr, D. P. Faxon, M. D. Freed, W. H. Gaasch, B. W. Lytle, R. A. Nishimura, P. T. O'Gara, et al. ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease) Developed in Collaboration With the Society of Cardiovascular Anesthesiologists Endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons J. Am. Coll. Cardiol., August 1, 2006; 48(3): e1 - e148. [Full Text] [PDF]
|
|
|
|
|
|
G. Dellgren, T. E. David, E. Raanani, S. Armstrong, J. Ivanov, and H. Rakowski Late hemodynamic and clinical outcomes of aortic valve replacement with the Carpentier-Edwards Perimount pericardial bioprosthesis J. Thorac. Cardiovasc. Surg., July 1, 2002; 124(1): 146 - 154. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. J. Pereira, M. S. Lauer, M. Bashir, I. Afridi, E. H. Blackstone, W. J. Stewart, P. M. McCarthy, J. D. Thomas, and C. R. Asher Survival after aortic valve replacement forsevere aortic stenosis with low transvalvular gradients and severe left ventricular dysfunction J. Am. Coll. Cardiol., April 17, 2002; 39(8): 1356 - 1363. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Huth, A. Friedl, A. Rost, and for the GELIA Study Investigator Group Intensity of oral anticoagulation after implantation of St. Jude Medical aortic prosthesis: analysis of the GELIA Database (GELIA 4) Eur. Heart J. Suppl., December 1, 2001; 3(suppl_Q): Q33 - Q38. [Abstract] [PDF]
|
|
|
|
|
|
H. Machida, H. Ishibashi-Ueda, K. Nakano, Y. Sasako, J. Kobayashi, K. Bando, K. Minatoya, H. Imamura, and S. Kitamura A morphologic study of Carpentier-Edwards pericardial xenografts in the mitral position exhibiting primary tissue failure in adults in comparison with Ionescu-Shiley pericardial xenografts J. Thorac. Cardiovasc. Surg., October 1, 2001; 122(4): 649 - 655. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 U. Bortolotti, G. Scioti, A. Milano, M. De Carlo, R. Codecasa, C. Nardi, and G. Tartarini Performance of 21-mm size perimount aortic bioprosthesis in the elderly Ann. Thorac. Surg., January 1, 2000; 69(1): 47 - 50. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Le Tourneau, C. Savoye, E. P. McFadden, D. Grandmougin, H.-F. Carton, J.-L. Hennequin, A. Dubar, G. Fayad, and H. Warembourg Mid-Term Comparative Follow-Up After Aortic Valve Replacement with Carpentier-Edwards and Pericarbon Pericardial Prostheses Circulation, November 9, 1999; 100(90002): II-11 - 16. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Vijayanagar, G. Chan, R. Musunuru, N. Sastry, I. Siegman, N. Rattehalli, and M. Cortelli Aortic Valve Replacement Without Annular Enlargement in Patients with Small Aortic Roots Asian Cardiovasc Thorac Ann, December 1, 1998; 6(4): 279 - 284. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. W. Borowiec, T. W. Dubiel, H.-E. Hansson, J. Landelius, S.-O. Nystrom, and J. W. Borowiec Pericarbon Pericardial Valve Prosthesis: Midterm Results of the Aortic Valve Replacement Angiology, January 1, 1998; 49(1): 1 - 11. [Abstract] [PDF]
|
|
|
|
|
|
M. R. Aupart, P. H. Neville, S. Hammami, A. L. Sirinelli, Y. A. Meurisse, and M. A. Marchand CARPENTIER-EDWARDS PERICARDIAL VALVES IN THE MITRAL POSITION: TEN-YEAR FOLLOW-UP J. Thorac. Cardiovasc. Surg., March 1, 1997; 113(3): 492 - 498. [Abstract] [Full Text]
|
|
|
|
|
|
M. L. McDonald, R. C. Daly, H. V. Schaff, C. J. Mullany, F. A. Miller, J. J. Morris, and T. A. Orszulak Hemodynamic Performance of Small Aortic Valve Bioprostheses: Is There a Difference? Ann. Thorac. Surg., February 1, 1997; 63(2): 362 - 366. [Abstract] [Full Text]
|
|
|
|
|
|
K. Nakano, K. Eishi, Y. Kosakai, F. Isobe, Y. Sasako, S. Nagata, H. Ueda, Y. Kito, and Y. Kawashima TEN-YEAR EXPERIENCE WITH THE CARPENTIER-EDWARDS PERICARDIAL XENOGRAFT IN THE TRICUSPID POSITION J. Thorac. Cardiovasc. Surg., March 1, 1996; 111(3): 605 - 612. [Abstract] [Full Text]
|
|
|
|
|
|
M. R. Aupart, A. L. Sirinelli, F. F. Diemont, Y. A. Meurisse, X. B. Dreyfus, and M. A. Marchand The Last Generation of Pericardial Valves in the Aortic Position: Ten-Year Follow-up in 589 Patients Ann. Thorac. Surg., February 1, 1996; 61(2): 615 - 620. [Abstract] [Full Text]
|
|
|
|
|
|
D. M. Cosgrove, B. W. Lytle, P. C. Taylor, M. T. Camacho, R. W. Stewart, P. M. McCarthy, D. P. Miller, M. R. Piedmonte, and F. D. Loop The Carpentier-Edwards pericardial aortic valve: Ten-year results J. Thorac. Cardiovasc. Surg., September 1, 1995; 110(3): 651 - 662. [Abstract] [Full Text]
|
|
|
|
|
|
A. Massiello, R. Kiraly, K. Butler, S. Himley, J.-F. Chen, and P. M. McCarthy The Cleveland Clinic-Nimbus total artificial heart: Design and in vitro function J. Thorac. Cardiovasc. Surg., September 1, 1994; 108(3): 412 - 419. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
