| Root replacement for all allograft aortic valves: preferred technique or too radical? | |
| | |
MedLine Citation:
|
PMID: 7646217 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
From November 1985 to January 1994, 146 patients have received a viable cryopreserved allograft for aortic root replacement. The follow-up was complete, with all events included to March 1st, 1994. The median age of patients was 49 years; 83.6% were male. Valve dysfunction (91 patients), primary aortic wall disease (45 patients), and a combination of both (10 patients) were the indications for aortic root replacement. The current operative mortality is 1.7% (three deaths in 172 patients to July 1st, 1994). Four late deaths have occurred, with an 8-year actuarial survival of 85% +/- 8% (95% confidence limits). Endocarditis (two events) and thromboembolism (four events) had a low incidence. Structural deterioration (three events) and reoperation for all causes (nine events) have constituted low morbidity and are compared with the results after non-root allograft implantation techniques. The clinical and echocardiographic evidence indicates that the immediate results of valve function with root replacement are superior. But no statistical difference between aortic root replacement and non-root procedures is apparent at 8 years, indicating that a longer follow-up is required before the answer to the question "preferred technique or too radical" can be answered. |
| | |
Authors:
|
M F O'Brien; R S Finney; E G Stafford; M A Gardner; P G Pohlner; P J Tesar; A D Cochrane; K L Gall; S E Smith |
Related Documents
:
|
11388217 - Highlights of a ten-year experience with the ross procedure. 8519517 - Aortic root replacement with a pulmonary autograft. 17062227 - Perioperative management to improve neurologic outcome in thoracic or thoracoabdominal ... 8633937 - Selective management of acute type b aortic dissection: long-term follow-up. 6611097 - Late results of an extended devascularization procedure for patients with bleeding esop... 9768787 - The advantages of the lateral decubitus position after spinal anesthesia with hyperbari... |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: The Annals of thoracic surgery Volume: 60 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1995 Aug |
Date Detail:
|
Created Date: 1995-09-20 Completed Date: 1995-09-20 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: S87-91 Citation Subset: AIM; IM |
Affiliation:
|
Department of Cardiac Surgery, Prince Charles Hospital, Brisbane, Australia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aorta / surgery Aortic Valve / transplantation* Cryopreservation Echocardiography Endocarditis / etiology Female Humans Male Middle Aged Postoperative Complications Reoperation Survival Analysis Thromboembolism / etiology Transplantation, Homologous / methods, mortality |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Subcoronary implantation or aortic root replacement for human tissue valves: sufficient data to pref...
Next Document: Allograft aortic root replacement: standardization and simplification of technique.