ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Robin H. Kinsley
Robert A.E. Dion
Robert W. Girdwood
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Louw, J. W. K.
Right arrow Articles by Girdwood, R. W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Louw, J. W. K.
Right arrow Articles by Girdwood, R. W.

Ann Thorac Surg 1980;29:415-422
© 1980 The Society of Thoracic Surgeons


Articles

Emergency Heart Valve Replacement: An Analysis of 170 Patients

Jacobus W.K. Louw, M.B., Robin H. Kinsley, F.C.S. (S.A.)*, Robert A.E. Dion, M.D., Peter R. Colsen, F.R.C.S.E., Robert W. Girdwood, F.R.C.S.E. F.R.C.S.

Division of Cardio-Thoracic Surgery, University of the Witwatersrand, and the Johannesburg Group of Teaching Hospitals, Johannesburg, South Africa

Accepted for publication July 11, 1979.

* Address reprint requests to Professor Kinsley, Division of Cardio-Thoracic Surgery, University of the Witwatersrand, Medical School, Johannesburg 2001, South Africa

The results of 170 emergency heart valve procedures performed during a 4 1/2-year period were analyzed. Five pathological groups of patients were recognized: those with infective endocarditis (Group 1, 28 patients); acute rheumatic carditis (Group 2, 43 patients); previous valve operation (Group 3, 29 patients); acute-on-chronic cardiac disease (Group 4, 67 patients); and miscellaneous conditions (Group 5, 3 patients). Mitral, aortic, and multiple valve procedures were performed on 58, 65, and 44 patients, respectively. The most common functional lesion was regurgitation. Hospital mortality was highest in Groups 3 (34%) and 4 (31%). By contrast, among the hospital survivors, the highest rate of attrition was in Group 2. Myocardial failure was the predominant cause of death. In view of the hopeless prognosis without operation, the 52% overall 3-year actuarial survival is a gratifying salvage. Unnecessary procrastination can only jeopardize the prospects for surgical cure.




This article has been cited by other articles:


Home page
HeartHome page
V. T Nkomo
Epidemiology and prevention of valvular heart diseases and infective endocarditis in Africa
Heart, December 1, 2007; 93(12): 1510 - 1519.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
M. J. Antunes, M. Med., and L. P. Santos
Performance of Glutaraldehyde-Preserved Porcine Bioprosthesis as a Mitral Valve Substitute in a Young Population Group
Ann. Thorac. Surg., May 1, 1984; 37(5): 387 - 392.
[Abstract] [PDF]


Home page
Ann. Thorac. Surg.Home page
W. Daenen, A. Nevelsteen, P. van Cauwelaert, E. de Maesschalk, J. Willems, and G. Stalpaert
Nine Years' Experience with the Bjork-Shiley Prosthetic Valve: Early and Late Results of 932 Valve Replacements
Ann. Thorac. Surg., June 1, 1983; 35(6): 651 - 663.
[Abstract] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1980 by The Society of Thoracic Surgeons.