| Aortic and mitral valve replacement with the Carpentier-Edwards pericardial bioprosthesis: mid-term clinical results. | |
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MedLine Citation:
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PMID: 8162219 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Between May 1st 1985 and December 31st 1992, 283 Carpentier-Edwards pericardial valves were implanted in 260 patients in the aortic (n = 196), mitral (n = 41) and both aortic and mitral (n = 23) positions at the Gasthuisberg University Hospital in Leuven, Belgium. Patients undergoing tricuspid valve replacement or mixed replacement with another type of prosthesis were excluded from this study. The mean age was 70 +/- 7 years, there were 121 males and 139 females. The mean follow up was 40.55 months, the total follow up experience 10543 months (878.6 patients years). Hospital mortality was 10.4%, and was not significantly related to the position of the valve: 17.3% +/- 7.88% (n = 23) for double valve replacement, 10.2% +/- 2.16% (n = 196) for aortic valve replacement and 7.3% +/- 4.06% (n = 41) for mitral valve replacement. Hospital mortality was 14.1% +/- 3.27% for those with and 7.48% +/- 2.5% for those without concomitant coronary surgery (p = NS). Survival at 92 months was 63% +/- 6% and was not significantly related to the position of the valve. Not a single patient needed to be reoperated because of primary tissue failure. We conclude that the mid-term durability of this valve is excellent and consider the Carpentier-Edwards pericardial valve as the stented bioprosthesis of choice both in the aortic and mitral positions for the elderly. Because of the older age of our study population and the medium term length of follow up, we were unable to draw any conclusions concerning the incidence of calcific degeneration of this valve. |
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Authors:
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B Meyns; J Szecsi; W Flameng; W Daenen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of heart valve disease Volume: 3 ISSN: 0966-8519 ISO Abbreviation: J. Heart Valve Dis. Publication Date: 1994 Jan |
Date Detail:
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Created Date: 1994-05-20 Completed Date: 1994-05-20 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9312096 Medline TA: J Heart Valve Dis Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 66-70 Citation Subset: IM |
Affiliation:
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Department of Cardiac Surgery, Gasthuisberg University Hospital, Katholieke Universiteit Leuven, Belgium. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Aged Aged, 80 and over Aortic Valve Bioprosthesis* Evaluation Studies as Topic Female Follow-Up Studies Heart Valve Prosthesis / mortality*, standards Humans Male Middle Aged Mitral Valve Prosthesis Design Prosthesis Failure Survival Rate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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