|
|
||||||||
Ann Thorac Surg 1980;30:439-447
© 1980 The Society of Thoracic Surgeons
From the Department of Surgery, Massachusetts General Hospital, and Harvard Medical School, Boston, MA
Accepted for publication January 29, 1980.
* Address reprint requests to Dr. Daggett, Massachusetts General Hospital, Boston, MA 02114
Experience with aortic valve replacement over a 9-year period is reviewed. Hospital mortality was 5.0%, with an additional late mortality of 15.0% during a mean follow-up period of 4.3 years. There was a 7.5% mortality among the 93 patients who were operated on using direct coronary perfusion. There were no early deaths among the 48 patients operated on using cold cardioplegic arrest.
Paravalvular leaks developed in 20 patients, and 9 had reoperation. There were no early deaths following elective reoperations for prosthetic valve dysfunction, but urgent reoperation was associated with a 40% mortality. Eighty percent of all patients are still alive at a maximum follow-up of 9 years. Eighty-six percent of the survivors who were in New York Heart Association Functional Class III or IV before operation are now in Class I or II. Hypothermic cardioplegic arrest was found to be preferable to coronary perfusion as a method of myocardial protection during aortic valve replacement. Patients with paravalvular leaks who have a history of left ventricular failure prior to aortic valve replacement should be considered candidates for early elective reoperation, owing to the significantly greater mortality associated with urgent reoperation.
This article has been cited by other articles:
![]() |
B Bridgewater, R S Steyn, S Ray, and T Hooper Minimally invasive aortic valve replacement through a transverse sternotomy: a word of caution Heart, June 1, 1998; 79(6): 605 - 607. [Abstract] [Full Text] |
||||
![]() |
A. Belboul, N. Al-Khaja, A. El-Gatit, Bo Liu, D. Roberts, and G. William-Olsson Late Improvement in Blood Cell Filterability and Cardiac Function Following Open Heart Surgery Vascular and Endovascular Surgery, September 1, 1992; 26(7): 543 - 551. [Abstract] [PDF] |
||||
![]() |
K. H. Teoh, G. T. Christakis, R. D. Weisel, C. P. Tong, L. L. Mickleborough, H. E. Scully, B. S. Goldman, and R. J. Baird The Determinants of Mortality and Morbidity after Multiple-Valve Operations Ann. Thorac. Surg., April 1, 1987; 43(4): 353 - 358. [Abstract] [PDF] |
||||
![]() |
A. H. Foster, C. M. Tracy, G. J. Greenberg, C. L. McIntosh, and R. E. Clark Valve Replacement in Narrow Aortic Roots: Serial Hemodynamics and Long-Term Clinical Outcome Ann. Thorac. Surg., November 1, 1986; 42(5): 506 - 516. [Abstract] [PDF] |
||||
![]() |
C. G. Montero, J. J. Rufilanchas, A. Juffe, R. Burgos, J. Ugarte, and D. Figuera Long-Term Results of Cardiac Valve Replacement with the Delrin-Disc Model of the Bjork-Shiley Valve Prosthesis Ann. Thorac. Surg., April 1, 1984; 37(4): 328 - 336. [Abstract] [PDF] |
||||
![]() |
D. Cheung, R. J. Flemma, D. C. Mullen, D. Lepley Jr., A. J. Anderson, and E. Weirauch Ten-Year Follow-up in Aortic Valve Replacement Using the Bjork-Shiley Prosthesis Ann. Thorac. Surg., August 1, 1981; 32(2): 138 - 145. [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 |