| Mitral valve replacement combined with myocardial revascularization: early and late results for 300 patients, 1970 to 1983. | |
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MedLine Citation:
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PMID: 3873296 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Of 300 consecutive patients undergoing primary operation for mitral valve replacement combined with coronary bypass grafting, 22 (7.3%) died in-hospital. Multivariate testing of preoperative and operative descriptors identified radiographic cardiac enlargement, preoperative paced rhythm or atrial fibrillation, 70% or more left main coronary obstruction, and serum bilirubin of more than 2 mg% as factors associated with an increase in in-hospital mortality. Follow-up of the 278 hospital survivors (mean interval 48 months, range 2 to 165 months) documented survival of 85%, 66%, and 31% and an event-free survival of 65%, 46%, and 21% at 2, 5, and 10 postoperative years, respectively. Cox proportional-hazard regression models of late risk implicated in-hospital ventricular arrhythmias, left ventricular dysfunction, and rheumatic or ischemic causes of mitral valve disease in decreasing long-term survival. In addition, patients with bioprostheses without warfarin anticoagulation had better survival and event-free survival than those with bioprostheses taking warfarin and those with mechanical prostheses with or without warfarin. |
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Authors:
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B W Lytle; D M Cosgrove; C C Gill; R W Stewart; L A Golding; M Goormastic; P C Taylor; F D Loop |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Circulation Volume: 71 ISSN: 0009-7322 ISO Abbreviation: Circulation Publication Date: 1985 Jun |
Date Detail:
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Created Date: 1985-07-16 Completed Date: 1985-07-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0147763 Medline TA: Circulation Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1179-90 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Arteriosclerosis / surgery Coronary Artery Bypass / mortality Female Heart Valve Diseases / surgery Heart Valve Prosthesis* / mortality Humans Male Middle Aged Mitral Valve Myocardial Revascularization* / mortality Risk Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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