Document Detail


REPLACEMENT OF THE AORTIC AND MITRAL VALVES USING THE STARR-EDWARDS BALL-VALVE PROSTHESIS: A REPORT OF 50 CASES.
MedLine Citation:
PMID:  14179062     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aortic and mitral valves were replaced in 50 patients at the University of Alberta Hospital using the Starr-Edwards ball-valve prosthesis. The basis of the selection of 20 patients for isolated aortic valve replacement and 27 for mitral valve replacement using this type of prosthesis is presented, and the techniques of insertion of the aortic and mitral valve are described in detail. Of the 27 patients in whom the mitral valve was replaced by the Starr-Edwards prosthesis six died within 30 days of surgery and two after discharge from hospital at two and a half and four months, respectively. Left atrial thrombosis was the cause of death in four of these patients. In 20 patients in whom the aortic valve was replaced, four died in hospital and two died more than 30 days after returning home. Three of these six patients died from bleeding-the result of the use of anticoagulants. The difficulty in assessing whether or not anticoagulants are needed following replacement by a Starr-Edwards prosthesis is considered. It is felt, in our present state of knowledge, that anticoagulants should be used following mitral valve replacement but are probably not essential following replacement of the aortic valve. Two patients survived replacement of both aortic and mitral valves and have been followed up 18 months and seven months, respectively.
Authors:
J C CALLAGHAN
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Medical Association journal     Volume:  91     ISSN:  0008-4409     ISO Abbreviation:  Can Med Assoc J     Publication Date:  1964 Aug 
Date Detail:
Created Date:  1964-11-01     Completed Date:  1996-12-01     Revised Date:  2010-06-22    
Medline Journal Info:
Nlm Unique ID:  0414110     Medline TA:  Can Med Assoc J     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  411-21     Citation Subset:  OM    
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MeSH Terms
Descriptor/Qualifier:
Aortic Valve*
Aortic Valve Stenosis*
Electrocardiography*
Heart, Artificial*
Mitral Valve*
Mitral Valve Insufficiency*
Mitral Valve Stenosis*
Mortality*
Postoperative Complications*
Prostheses and Implants*
Radiography, Thoracic*
Thoracic Surgery*
Comments/Corrections

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


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