Document Detail


An appreciation of the new St. Jude valvular prosthesis.
MedLine Citation:
PMID:  7453229     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Beginning in March, 1978, 88 patients have had cardiac valve replacements with St. Jude prostheses. There were 26 males and 62 females, aged 6 to 80 years (mean 60). Single valve replacement was done in 67. Double valve replacement was done in 21; 12 of them had two St. Jude valves and nine had a different second valve. There were 57 mitral and 43 aortic valves replaced. Thirty-six patients had concomitant aorta-coronary bypass, and six others had additional cardiac procedures. All patients have been followed for a total of 807 patient-months (mean 9 months). Seventy-nine have been receiving sodium warfarin and seven are not receiving anticoagulants. There has been one embolic episode. There are no valve failures to date. Early mortality is 2.3% and late mortality, 5.7%; no death was valve related. Fifty-three survivors have improved by two or more N.Y.H.A. classifications. Fifty-four valves studied postoperatively at rest, during pacing, and during isoproterenol infusion have demonstrated significantly better hemodynamic performance than have mitral porcine xenografts studied in an identical manner (p < 0.05). Phonocardiography, M-mode and two-dimensional echocardiography, and cinefluoroscopy, carried out in 18 patients, have proved to be reliable noninvasive techniques for long-term follow-up. This experience indicates that the St. Jude prosthesis offers an excellent and predictable alternative in the surgeon's decision-making concerning valve choices.
Authors:
A Chaux; R J Gray; J M Matloff; H Feldman; H Sustaita
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  81     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1981 Feb 
Date Detail:
Created Date:  1981-03-27     Completed Date:  1981-03-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  202-11     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aortic Valve / physiology,  surgery*
Cardiac Output
Child
Echocardiography
Female
Heart Valve Prosthesis*
Hemodynamics*
Humans
Male
Middle Aged
Mitral Valve / physiology,  surgery*
Phonocardiography
Postoperative Complications

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


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