Document Detail


Porcine xenograft valves. Long-term (60-89-month) follow-up.
MedLine Citation:
PMID:  6772334     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An analysis of 211 patients who had porcine xenograft valve replacements at Henry Ford Hospital between October 1971 and March 1974, was accomplished, with 100% follow-up. The follow-up period extended from 60-89 months after implantation. One hundred sixty-seven patients with 192 valves survived the perioperative period and were subjected to life table analysis. Hemodynamically significant porcine xenograft degeneration that required reoperation occurred in 18 patients, two of whom had infective endocarditis. Only four valves failed within 48 months of surgery. Ten of 42 (23.8%) patients with isolated aortic valve replacement and eight of 102 patients (7.8%) patients with isolated mitral valve replacement required reoperation (p < 0.01). In patients under 25 years of age, six of nine surviving patients had repeat operations. Our data indicate that porcine xenograft degeneration is related to the duration of implantation and the age of the patient at the time implantation was performed. In addition, porcine xenograft valves in the aortic position are more likely to degenerate than are those in the mitral position.
Authors:
J B Lakier; F Khaja; D J Magilligan; S Goldstein
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation     Volume:  62     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1980 Aug 
Date Detail:
Created Date:  1980-10-21     Completed Date:  1980-10-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  313-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aortic Valve / transplantation
Bioprosthesis*
Child
Endocarditis, Bacterial / etiology
Female
Follow-Up Studies
Heart Valve Prosthesis*
Heart Valves / transplantation*
Humans
Long-Term Care
Male
Middle Aged
Mitral Valve / physiopathology,  transplantation
Thromboembolism / etiology
Tricuspid Valve / transplantation

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


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