| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 58, 1721-1728, Copyright © 1994 by The Society of Thoracic Surgeons
O Jegaden, A Eker, F Delahaye, P Montagna, J Ossette, G Durand de Gevigney and PH Mikaeloff
From January 1979 to December 1990, 397 consecutive patients (mean age, 55
+/- 11 years) underwent mitral valve replacement with the St. Jude Medical
valve. Associated procedures performed were 174 multiple valve
replacements, 24 coronary artery bypass graftings, 25 tricuspid repairs,
and 13 left ventricular myectomies. The continuous intravenous
administration of heparin was started on the first postoperative day and
maintained until effective oral anticoagulation, started on the seventh
day, was achieved (INR, 3 to 4.5). Follow-up consisted of 2,402
patient-years (pt-y) (mean, 6.1 +/- 0.2 years) and was 97% complete. The
early (30-day) mortality was 3.5%; the 5-year and 10-year actuarial
survivals were 86% +/- 4% and 73% +/- 6%, respectively. Survival was less
in patients who had been in an advanced preoperative functional class (p =
0.02) and in those who underwent multiple valve replacements (p = 0.05).
The 5-year and 10-year survivals in patients who underwent isolated mitral
valve replacement and who were in preoperative New York Heart Association
functional class II and III, were 90% +/- 5% and 82% +/- 7%, respectively.
The early and late mortality and the incidence of deaths resulting from
heart failure and sudden deaths were higher in patients who had undergone
multiple valve replacements (p = 0.05). In terms of all deaths, 47% (36/77)
were valve related (including 12 sudden deaths, 0.50%/pt-y). Thromboembolic
complications occurred in 44 patients, and these were broken down as
follows: embolism, 1.46%/pt-y, and valve thrombosis, 0.37%/pt-y.(ABSTRACT
TRUNCATED AT 250 WORDS)
ARTICLES
Thromboembolic risk and late survival after mitral valve replacement with the St. Jude Medical valve
Department of Cardiovascular Surgery, Hopital Cardiologique, Lyon, France.
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]
|
|
|
|
 |
|
 T. Gudbjartsson, T. Absi, and S. Aranki Mitral Valve Replacement Card. Surg. Adult, January 1, 2008; 3(2008): 1031 - 1068. [Full Text]
|
|
|
|
|
|
H. V. Schaff and R. M. Suri Multiple Valve Disease Card. Surg. Adult, January 1, 2008; 3(2008): 1129 - 1158. [Full Text]
|
|
|
|
|
|
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]
|
|
|
|
|
|
T. Gudbjartsson, S. Aranki, and L. H. Cohn Mechanical/Bioprosthetic Mitral Valve Replacement Card. Surg. Adult, January 1, 2003; 2(2003): 951 - 986. [Full Text]
|
|
|
|
|
|
H. V. Schaff and D. H. Marsh Multiple Valve Disease Card. Surg. Adult, January 1, 2003; 2(2003): 1017 - 1045. [Full Text]
|
|
|
|
 |
|
 R. Bergemann and E. Muller Economic outcomes after heart valve replacement surgery in Germany Eur. Heart J. Suppl., December 1, 2001; 3(suppl_Q): Q70 - Q72. [Abstract] [PDF]
|
|
|
|
 |
|
 N.M. Al-Saady and M. Sopher Prothrombotic markers in atrial fibrillation: what is new? Eur. Heart J., September 2, 2001; 22(18): 1635 - 1639. [PDF]
|
|
|
|
 |
|
 P. Zhu and S. S. Feng Fifteen-Year Experience With Shanghai Disc Valve Prosthesis Asian Cardiovasc Thorac Ann, September 1, 2001; 9(3): 182 - 186. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N M Al-Saady, O A Obel, and A J Camm Left atrial appendage: structure, function, and role in thromboembolism Heart, November 1, 1999; 82(5): 547 - 554. [Abstract] [Full Text]
|
|
|
|
 |
|
 W.R. E. Jamieson, R. T. Miyagishima, G. L. Grunkemeier, E. Germann, C. Henderson, G. J. Fradet, L. H. Burr, and S. V. Lichtenstein Bileaflet mechanical prostheses performance in mitral position Eur. J. Cardiothorac. Surg., June 1, 1999; 15(6): 786 - 794. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Craver CarboMedics(R) Prosthetic Heart Valve Eur. J. Cardiothorac. Surg., January 1, 1999; 15(suppl_1): 3 - 11. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. K. Rosengart, M. O'Hara, S. J. Lang, W. Ko, N. Altorki, K. H. Krieger, and O. W. Isom Outcome analysis of 245 CarboMedics and St. Jude valves implanted at the same institution Ann. Thorac. Surg., November 1, 1998; 66(5): 1684 - 1691. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W.R. E. Jamieson, A. I. Munro, R. T. Miyagishima, G. L. Grunkemeier, L. H. Burr, S. V. Lichtenstein, and G. F. O. Tyers Multiple mechanical valve replacement surgery comparison of St. Jude Medical and CarboMedics prostheses Eur. J. Cardiothorac. Surg., February 1, 1998; 13(2): 151 - 159. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. A. Grossi, A. C. Galloway, J. S. Miller, G. H. Ribakove, A. T. Culliford, R. Esposito, J. Delianides, P. M. Buttenheim, F. G. Baumann, F. C. Spencer, et al. Valve Repair Versus Replacement For Mitral Insufficiency: When Is A Mechanical Valve Still Indicated? J. Thorac. Cardiovasc. Surg., February 1, 1998; 115(2): 389 - 396. [Abstract] [Full Text]
|
|
|
|
|
|
T. E. David, V. L. Gott, L. A. Harker, G. E. Miller Jr, D. C. Naftel, A. G. G. Turpie, and C. W. Akins Mechanical Valves Ann. Thorac. Surg., November 1, 1996; 62(5): 1567 - 1570. [Full Text]
|
|
|
|
 |
|
 W. Vongpatanasin, L. D. Hillis, and R. A. Lange Prosthetic Heart Valves N. Engl. J. Med., August 8, 1996; 335(6): 407 - 416. [Full Text] [PDF]
|
|
|
|
|
|
J. L. Blackshear and J. A. Odell Appendage Obliteration to Reduce Stroke in Cardiac Surgical Patients With Atrial Fibrillation Ann. Thorac. Surg., February 1, 1996; 61(2): 755 - 759. [Abstract] [Full Text]
|
|
|
|
|
|
C. W. Akins Results With Mechanical Cardiac Valvular Prostheses Ann. Thorac. Surg., December 1, 1995; 60(6): 1836 - 1844. [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 |
