Document Detail

Aortic and mitral valve incompetence: long-term follow-up (10 to 19 years) of patients treated with the Starr-Edwards prosthesis.
MedLine Citation:
PMID:  6707359     Owner:  NLM     Status:  MEDLINE    
The long-term course (mean 15 years) of 336 patients with valvular incompetence who underwent Starr-Edwards ball valve implantation between 1962 and 1971 was reviewed. Eighteen patients (10%) with aortic valve replacement and 24 (16%) with mitral valve replacement died early postoperatively. Mortality remained high (31%) in the first 3 years after aortic valve replacement; it was highest (13%) in the first year after mitral valve replacement and then approached the normal rate. The most common mode of death was sudden death after aortic and cardiac failure after mitral valve replacement. At follow-up, 76% of survivors had improved symptomatically. Three instances of primary valve malfunction occurred. The probability of freedom from thromboembolism at 15 years postoperatively was 56% for aortic valve replacement and 52% for mitral valve replacement. The Starr-Edwards valve prosthesis is durable over prolonged follow-up period, but thromboembolism remains a persistent problem. Survival may be normal for patients surviving the early postoperative years.
M D McGoon; V Fuster; D C McGoon; C W Pumphrey; J R Pluth; L R Elveback
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  3     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  1984 Apr 
Date Detail:
Created Date:  1984-05-04     Completed Date:  1984-05-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  930-8     Citation Subset:  IM    
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MeSH Terms
Aortic Valve
Aortic Valve Insufficiency / surgery*
Follow-Up Studies
Heart Valve Prosthesis* / adverse effects,  mortality
Intracranial Embolism and Thrombosis / epidemiology,  etiology
Middle Aged
Mitral Valve
Mitral Valve Insufficiency / surgery*
Thromboembolism / epidemiology,  etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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