Document Detail


Clinical and echocardiographic follow-up after aortic valve reconstruction with bovine or autologous pericardium.
MedLine Citation:
PMID:  8969568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eighty-six patients, mean age 29 +/- 15 years, underwent aortic valve reconstruction with bovine or autologous pericardial tissue. Mean clinical follow-up was 35 months. Echocardiographic data were assessed in 65 patients with follow-up > or = 6 months. There were two in-hospital and three late deaths. Warfarin was not given, and no thromboembolic events occurred. Five (6%) patients needed reoperation because of severe aortic regurgitation. Peak aortic valve gradients remained low (26 +/- 14 mm Hg for the bovine group and 16 +/- 16 mm Hg for the autologous group). One patient is awaiting surgery for aortic stenosis after 76 months. Leaflet thickening at latest follow-up was marked in six (9%) patients. Left ventricular dimensions normalized postoperatively and showed only insignificant increase during follow-up. This technique is a promising alternative to valve prosthesis in selected patients; however, longer follow-up is necessary to assess long-term results.
Authors:
K Bjørnstad; R M Duran; K G Nassau; B Gometza; L K Hatle; C M Duran
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  American heart journal     Volume:  132     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-01-16     Completed Date:  1997-01-16     Revised Date:  2006-02-27    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1173-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Animals
Aortic Valve / surgery*,  ultrasonography
Aortic Valve Insufficiency / physiopathology,  surgery
Aortic Valve Stenosis / surgery
Cattle
Child
Echocardiography*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Pericardium / transplantation*
Reoperation
Transplantation, Autologous
Transplantation, Heterologous

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


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