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Ann Thorac Surg 1980;29:519-521
© 1980 The Society of Thoracic Surgeons

Articles

Long-Term Follow-up of Artificial Valves in Patients under 15 Years Old

Juro Wada, M.D.*, Masayoshi Yokoyama, M.D., Akimasa Hashimoto, M.D., Yasuharu Imai, M.D., Nobuo Kitamura, M.D., Atsuyoshi Takao, M.D., Kazuo Momma, M.D.

Heart Institute of Japan, Tokyo Women's Medical College, Tokyo, Japan

Accepted for publication December 10, 1979.

* Address reprint requests to Dr. Wada, Heart Institute of Japan, Tokyo Women's Medical College, 10 Kawadacho, Shinjukuku, Tokyo, Japan

Forty-nine artificial cardiac valves implanted in 44 patients less than 15 years old were reviewed. Out of 49 valves, 16 were mechanical and 33 were xenografts. Average follow-up was 2 years 5 months. Marked valvular stenosis developed in 11 out of the 33 xenografts, an incidence of 15% per patient-year. In patients with a xenograft valve, the incidence of sepsis was found to be 4% per patient-year and brain accidents, 4% per patient-year. In patients with mechanical valves, the incidence of stenosis was only 2% per patient-year and brain accidents, 2% per patient-year. There was no sepsis. From these follow-up results, mechanical valves seem to be superior to xenografts when used in patients less than 15 years old.




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