| Long-term follow-up of cardiac valve replacement using bioprosthesis in patients 70 years old and older. | |
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MedLine Citation:
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PMID: 12460386 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Good long-term results with the bioprosthetic valves for patients 70 years old and older have been reported. However, because the average lifespan is increasing, we aimed to clarify whether patients older than 70 may still be candidates for valve re-replacement. Seventy-one patients 70 years old and older, who received a total of 81 bioprosthetic valve replacements during 73 procedures between 1988 and 2000, were reviewed. There were 8 hospital and 7 late deaths. Ten-year actual survival after valve replacement was 73.5%, and 82.8% when hospital deaths were excluded. During the follow-up period, 2 patients received mitral valve re-replacement. Ten years of freedom from reoperation were found in 66.7% for all valves and in 50.0% for mitral valves. The average lifespan in Japan is currently 77.64 years for men and 84.62 years for women; therefore, valve degeneration in patients who receive bioprosthesis replacement in their early 70s should be anticipated. |
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Authors:
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Keishi Ueyama; Hiroyuki Kamiya; Taro Kanamori; Hirokazu Ohashi; Tsutsumi Yasushi; Takahiro Kawai; Masateru Ohnaka |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Artificial organs Volume: 26 ISSN: 0160-564X ISO Abbreviation: Artif Organs Publication Date: 2002 Dec |
Date Detail:
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Created Date: 2002-12-03 Completed Date: 2003-05-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7802778 Medline TA: Artif Organs Country: United States |
Other Details:
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Languages: eng Pagination: 1059-62 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Maizuru Mutual Hospital, Japan. Kueyama@Kanazawa-heart.or.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Bioprosthesis* Female Follow-Up Studies Heart Valve Prosthesis* Heart Valve Prosthesis Implantation* Humans Male Prosthesis Failure Reoperation Survival Analysis |
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