Document Detail


Experience of the small size (25 mm) Sorin Bicarbon bileaflet prosthetic valve in patients with small mitral annuli.
MedLine Citation:
PMID:  14992105     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Currently, there is a tendency to use large-size prosthetic valves in mitral position in order to achieve better hemodynamic performance. We aimed to evaluate hemodynamic performance of 25 mm prosthetic valves in mitral position. METHODS: Between August 1998 and May 2000, a total of 40 patients, 34 women and 6 men (mean age 42 +/- 12 years), underwent mitral valve replacement with 25 mm bileaflet mechanical valve. Preoperative functional capacity was New York Heart Association classes III and IV in 31 patients. Major indication for surgery was severe mitral stenosis in all patients. RESULTS: Total hospital mortality was 5% (two patients). Mean follow-up period was 14.7 +/- 4.9 months (2 to 23 months). No thromboembolic event, paravalvular leak, mechanical failure, endocarditis were observed during the follow-up period. Postoperatively 92.5% of the patients were in the functional capacity of New York Heart Association class I. Postoperative echocardiographic observations have given an average pulmonary artery pressure of 29 +/- 2 mmHg, effective orifice area as 2.95 +/- 0.1 cm2, and mean prosthetic gradient as 6.5 +/- 2.7 mmHg. CONCLUSION: In short- and mid-term, small-size (25 mm) Sorin mechanical mitral valves had excellent hemodynamic performance in patients with severe mitral stenosis, moderate or serious pulmonary hypertension, and small mitral annuli, whose body surface area was smaller than 1.6 m2.
Authors:
Nevzat Erdil; Levent Cetin; Ufuk Demirkilic; Harun Tatar; Mehmet Uzun
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  18     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2003 Nov-Dec
Date Detail:
Created Date:  2004-03-02     Completed Date:  2004-03-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  532-8     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Alkan Hospital, Ankara, Turkey. n_erdil@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Ferrous Compounds
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation*
Hospital Mortality
Humans
Male
Middle Aged
Mitral Valve / pathology
Mitral Valve Stenosis / surgery*
Prosthesis Design
Prosthesis Fitting
Chemical
Reg. No./Substance:
0/Ferrous Compounds; 7720-78-7/ferrous sulfate

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


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