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The Annals of Thoracic Surgery, Vol 25, 555-557, Copyright © 1978 by The Society of Thoracic Surgeons

ARTICLES

The determinants of survival following reoperation on prosthetic cardiac valves

S Stewart and JA DeWeese

In an effort to identify the determinants of survival following reoperation on patients with prosthetic cardiac valves, the experience with a group of 33 patients at the University of Rochester Medical Center was reviewed. The survival rate was 58% (19/33). Survival was not related to the valve involved, the age of the patient, or the technical hazards of a second cardiac operation. Ten (77%) of the 13 patients in New York Heart Association (NYHA) Functional Class II survived compared with 8 (40%) of the 20 in Class III or IV. The survival rate for patients with a paravalvular fistula was 79% (11/14); with valve dysfunction, 50% (6/12); and with prosthetic valve infection, 29% (2/7). The determinants of survival seem to be similar to those for primary operation (i. e., NYHA patient classification and indication for operation) and less related to the potential operative complications of a reoperation.


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A. M. Safi, T. Kwan, E. Afflu, A. Al Kamme, and L. Salciccioli
Paravalvular Regurgitation: A Rare Complication Following Valve Replacement Surgery
Angiology, June 1, 2000; 51(6): 479 - 487.
[Abstract] [PDF]


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Copyright © 1978 by The Society of Thoracic Surgeons.