Document Detail


Late results of mitral valve replacement using unstented antibiotic sterilised aortic homografts.
MedLine Citation:
PMID:  6651999     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three hundred and seventy nine patients who had undergone mitral valve replacement using unstented antibiotic sterilised aortic homografts were followed up for 52 to 138 months (mean 102 months). Patients requiring additional aortic valve replacement were excluded. The commonest cause was rheumatic heart disease (321 patients). There were 37 early deaths (9.8%) and 97 late deaths (28%). The actuarial survival of operative survivors was 83% at three years, 75% at five years, and 55% at nine years. Technical valve failure occurred in six patients (1.6%), infective endocarditis in 19 (5%), and degeneration of the valve in 43 (12.5%). The cumulative probability of freedom from endocarditis was 96% at three years, 94% at five years, and 91% at nine years, while that of freedom from valve degeneration was 97% at five years and 48% at 10 years. There were no early embolic episodes, but late embolism occurred in five patients (1.5%).
Authors:
S A Qureshi; M A Halim; G Campalani; Y J Coe; M K Towers; M H Yacoub
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  50     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1983 Dec 
Date Detail:
Created Date:  1984-02-14     Completed Date:  1984-02-14     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  564-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aortic Valve / transplantation
Bioprosthesis*
Endocarditis / etiology
Female
Follow-Up Studies
Heart Valve Prosthesis* / mortality
Humans
Male
Middle Aged
Mitral Valve
Postoperative Complications
Thromboembolism / etiology
Comments/Corrections

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


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