Document Detail


Valvular replacement for aortic stenosis on patients in NYHA class III and IV. Early and long term results.
MedLine Citation:
PMID:  7629209     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From January 1972 to June 1990, 112 patients between 39 and 83 years old, divided into 68 NYHA class III (60.72%) and 44 NYHA class IV, underwent surgery for aortic stenosis. There were 67 male (59.82%) and 45 female (40.18%). Early mortality included 8 patients (7.14%). Actuarial survival (including early postoperative mortality) for all 112 patients was 88.39%, 77.67%, 67.85% and 65.7% t one year, five, ten and fifteen years respectively. Clinical criteria are subjective but they remain the best prognostic factor. Surgery is indicated at occurrence of first symptoms, but, even in advanced cases, aortic valvular replacement can significantly improve survival and functional status. Even if operative risk is increased and secondary cardiomyopathy often progresses after surgery, aortic valve replacement results seem better than those of medical treatment alone.
Authors:
J F Obadia; A Eker; G Rescigno; C Flamens; J F Chassignolle
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  36     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  1995 Jun 
Date Detail:
Created Date:  1995-09-05     Completed Date:  1995-09-05     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  251-6     Citation Subset:  IM    
Affiliation:
Hôpital Cardiologique Louis Pradel, Hospices Civils de Lyon, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Aortic Valve
Aortic Valve Stenosis / mortality,  physiopathology,  surgery*
Female
Heart Valve Prosthesis*
Hemodynamics
Humans
Male
Middle Aged
Prognosis
Retrospective Studies
Survival Rate
Treatment Outcome

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


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