Document Detail


Aortic valve replacement with concomitant open mitral valvotomy--early results and long term followup in 72 consecutive patients.
MedLine Citation:
PMID:  8365749     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
P Kaul; S John; C N John; V V Bashi; E Ravikumar; U Choudhry; S Krishnaswamy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian heart journal     Volume:  45     ISSN:  0019-4832     ISO Abbreviation:  Indian Heart J     Publication Date:    1993 Mar-Apr
Date Detail:
Created Date:  1993-10-07     Completed Date:  1993-10-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0374675     Medline TA:  Indian Heart J     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  113-5     Citation Subset:  IM    
Affiliation:
Department of Thoracic & Cardiovascular Surgery, Christian Medical College Hospital, Vellore.
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MeSH Terms
Descriptor/Qualifier:
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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