| Aortic valve replacement with concomitant open mitral valvotomy--early results and long term followup in 72 consecutive patients. | |
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MedLine Citation:
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PMID: 8365749 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Experience with 72 consecutive subjects, who underwent aortic valve replacement with open mitral valvotomy is presented. Mean age was 30 years and history of rheumatic fever was forthcoming in 80%. 91.7% patients had aortic regurgitation--with or without aortic stenosis. 45% patients had pulmonary hypertension. Starr Edwards (51.4% and Bjork Shiley valves (45.8%) were commonly used. There were no early deaths. All patients were followed up for 1 to 19 years (mean = 9 years). There were 4 (5.5%) late deaths. 4.1% patients developed mild restenosis of the mitral valve over a mean period of 8 years and 1.04% developed mitral regurgitation mandating mitral valve replacement. A notable feature of this series is the low incidence of thromboembolism-free lives at upto 10 years followup despite receiving only aspirin in place of coumarin anticoagulation. We believe aortic valve replacement and open mitral valvotomy is a worthy alternative to double valve replacement in view of its zero hospital mortality, low late mortality, low incidence of restenosis, low thromboembolic episodes and the avoidance of coumarin anticoagulation. |
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Authors:
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P Kaul; S John; C N John; V V Bashi; E Ravikumar; U Choudhry; S Krishnaswamy |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Indian heart journal Volume: 45 ISSN: 0019-4832 ISO Abbreviation: Indian Heart J Publication Date: 1993 Mar-Apr |
Date Detail:
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Created Date: 1993-10-07 Completed Date: 1993-10-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0374675 Medline TA: Indian Heart J Country: INDIA |
Other Details:
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Languages: eng Pagination: 113-5 Citation Subset: IM |
Affiliation:
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Department of Thoracic & Cardiovascular Surgery, Christian Medical College Hospital, Vellore. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aortic Valve Insufficiency / complications, surgery* Balloon Dilatation* Female Heart Valve Prosthesis* / adverse effects, mortality Humans Male Middle Aged Mitral Valve Stenosis / complications, therapy* Recurrence |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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