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Grant V.S. Parr
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Eugene H. Blackstone
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Ann Thorac Surg 1977;23:319-322
© 1977 The Society of Thoracic Surgeons

Articles

The Early Risk of Re-replacement of Aortic Valves

Grant V.S. Parr, M.D., John W. Kirklin, M.D.*, Eugene H. Blackstone, M.D.

Department of Surgery, University of Alabama School of Medicine and Medical Center, Birmingham, AL.

Accepted for publication November 30, 1976.

* Address reprint requests to Dr. Kirklin, Department of Surgery, University Station, Birmingham, AL 35294.

One hundred two patients underwent re-replacement of the aortic valve, 95 having a first reoperation, 6 a second, and 1 a third. The early (30-day) mortality among the 81 patients undergoing an elective first reoperation was 3.7% (with 70% confidence limits of 1.63% and 7.32%). Fourteen patients undergoing their first reoperation did so urgently, and 6 (42.9%) died early postoperatively. Technical problems during reoperation were uncommon. Fifteen of the 102 patients underwent reoperation because of infection in or around the device; 2 (13.3%) died early postoperatively, and at least 3 more died within nine months of operation. These data, with their 70% confidence limits, are useful in arriving at a decision for or against reoperation in individual patients.




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