| The Carpentier-Edwards pericardial bioprosthesis: clinical experience with 600 patients. | |
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MedLine Citation:
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PMID: 7646176 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Carpentier-Edwards pericardial bioprostheses were implanted in 600 patients: 416 aortic valve replacement, 115 mitral valve replacement, 6 isolated tricuspid, and 63 multiple valve replacements. The survival rates were 70% at 10 years after aortic valve replacement, 62% 8 years after mitral valve replacement, and 57% at 8 years with multiple valve replacement. Overall, 69 patients suffered one or more valve-related complications. The 10-year freedom rates from embolism were 91% (aortic valve replacement), 92% (mitral valve replacement), and 89% (multiple valve replacement), and those from endocarditis were 95%, 93%, and 85%, respectively. In 18 of the 35 patients, reoperation was due to primary valve dysfunction. Freedom from primary dysfunction was 87% at 10 years with aortic valve replacement, and at 8 years, it was 79% with mitral valve replacement and 77% with multiple valve replacement. A direct correlation was found between freedom from valve dysfunction and age of the patient at operation, with a 10-year-free rate of 90% among patients older than 59 years. This bioprosthesis has an excellent durability up to 10 years in the aortic position. More data regarding its long-term durability in the mitral position are needed. It is currently our valve substitute of choice when a bioprosthesis is indicated. |
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Authors:
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L C Pelletier; M Carrier; Y Leclerc; I Dyrda |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 60 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1995 Aug |
Date Detail:
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Created Date: 1995-09-20 Completed Date: 1995-09-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: S297-302 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Montreal Heart Institute, Quebec, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Actuarial Analysis Adolescent Adult Age Factors Aged Aged, 80 and over Aortic Valve / surgery Bioprosthesis* / adverse effects, mortality Endocarditis / etiology Female Heart Valve Prosthesis* / adverse effects, mortality Humans Male Middle Aged Mitral Valve / surgery Prosthesis Failure Reoperation Survival Rate Thromboembolism / etiology Tricuspid Valve / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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