Document Detail

Long-term follow-up in 185 patients after mitral valve replacement with the Lillehei-Kaster prosthesis. Overall results and prosthesis-related complications.
MedLine Citation:
PMID:  3653119     Owner:  NLM     Status:  MEDLINE    
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.
K H Olesen; I H Rygg; A Wennevold; J Nyboe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European heart journal     Volume:  8     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1987 Jul 
Date Detail:
Created Date:  1987-11-17     Completed Date:  1987-11-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  680-8     Citation Subset:  IM    
Department of Medicine B, Rigshospitalet, University of Copenhagen Medical School, Denmark.
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MeSH Terms
Follow-Up Studies
Heart Valve Prosthesis / adverse effects,  mortality*
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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