| Clinical evaluation of the Björk-Shiley tilting disc valve in the tricuspid position. Early and late results in 10 isolated and 51 combined cases. | |
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MedLine Citation:
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PMID: 725559 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Tricuspid valve replacement with the Björk-Shiley tilting disc valve was performed in 61 consecutive patients with either organic disease causing valve malfunction or functional regurgitation of severe degree. The early mortality rate was 21% (13/61) for the entire series. It was 10% (1/10) for tricuspid valve replacement alone, 27% (9/33) for mitral and tricuspid valve replacement, and 18% (3/17) for triple valve replacement. Age over 60 years, functional capacity group IV (N.Y.H.A.) and heart volume over 900 ml/m2 BSA were factors associated with a high operative mortality. There were 3 late deaths, 42, 42 and 45 months, respectively, after surgery, due to arrhythmia (2) and anticoagulant complications (1). The Björk-Shiley prosthesis has functioned well and with satisfactory clinical improvement in the majority of the 48 long-term survivors, for an average period of 2.8 years. There were, however, 3 cases of prosthetic valve failure due to thrombotic obstruction following isolated tricuspid replacement because of Ebstein's anomaly (2) and traumatic tricuspid valvular incompetence (1). Reoperation with insertion of a new Björk-Shiley prosthesis involved no mortality. One patient, however, had a recurrent prosthetic thrombosis which was successfully treated with streptokinase. Only one patient in the series, who underwent triple valve replacement, suffered from systemic embolism, an incidence of 0.7 per 100 patient years. There were no episodes of pulmonary embolism or infective endocarditis. |
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Authors:
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A Péterffy; A Henze; R Jonasson; V O Björk |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Scandinavian journal of thoracic and cardiovascular surgery Volume: 12 ISSN: 0036-5580 ISO Abbreviation: Scand J Thorac Cardiovasc Surg Publication Date: 1978 |
Date Detail:
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Created Date: 1979-02-23 Completed Date: 1979-02-23 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0121343 Medline TA: Scand J Thorac Cardiovasc Surg Country: SWEDEN |
Other Details:
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Languages: eng Pagination: 179-87 Citation Subset: IM |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Anticoagulants / therapeutic use Aortic Valve / surgery Evaluation Studies as Topic Female Follow-Up Studies Heart Valve Prosthesis* / mortality Hemodynamics Humans Male Methods Middle Aged Mitral Valve / surgery Postoperative Complications / mortality Prosthesis Design Tricuspid Valve / surgery* Tricuspid Valve Insufficiency / surgery |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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