| Long-term follow-up in 185 patients after mitral valve replacement with the Lillehei-Kaster prosthesis. Overall results and prosthesis-related complications. | |
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MedLine Citation:
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PMID: 3653119 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A follow-up was carried out in 185 patients after mitral valve replacement with the Lillehei-Kaster prosthesis. Fifty-eight males and one hundred and twenty-seven females provided a total of 876 years of observation. The operative mortality amounted to 13% for the total series and to 9.3% after elective surgery. The long-term survival for the total series was 67% after five years and 56% after 10 years. The great majority of survivors showed a marked improvement in functional capacity and a significant decrease in heart volume. In spite of long-term anticoagulant treatment thromboembolic events were the most frequent valve-related complications. Thrombosis of the valve occurred in eight patients and appeared to decrease with a change in the orientation of the valve. The percentage of patients free from thromboembolic events amounted to 76 +/- 5% after ten years. The percentage of patients free from valve-related morbidity and mortality was 66 +/- 5% after ten years. Valve related death accounted for 18% of all deaths and 26% of all late deaths. Fracture of the prosthesis was never encountered. These results compare favourably with those obtained with the Starr Edwards' or the Björk-Shiley prostheses. |
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Authors:
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K H Olesen; I H Rygg; A Wennevold; J Nyboe |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European heart journal Volume: 8 ISSN: 0195-668X ISO Abbreviation: Eur. Heart J. Publication Date: 1987 Jul |
Date Detail:
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Created Date: 1987-11-17 Completed Date: 1987-11-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8006263 Medline TA: Eur Heart J Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 680-8 Citation Subset: IM |
Affiliation:
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Department of Medicine B, Rigshospitalet, University of Copenhagen Medical School, Denmark. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Follow-Up Studies Heart Valve Prosthesis / adverse effects, mortality* Humans Male Middle Aged Mitral Valve Mitral Valve Insufficiency / surgery* Mitral Valve Stenosis / surgery* Postoperative Complications / mortality* Prosthesis Design Prosthesis Failure Thromboembolism / mortality* Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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