|
|
||||||||
Ann Thorac Surg 1982;33:562-569
© 1982 The Society of Thoracic Surgeons
From the Department of Surgery, Cardiothoracic Institute, London, England
Accepted for publication October 8, 1981.
* Address reprint requests to Mr. Ross, Department of Surgery, Cardiothoracic Institute, 2 Beaumont St, London W1N 2DX, England
Three hundred thirteen patients underwent aortic valve replacement with 319 Starr-Edwards caged-ball prostheses and have been followed for 1 to 14 years. Hospital mortality (24.8%) and first-year mortality (4.8%) suggest that this is a high-risk group. Overall postoperative patient survival was 37.1%, with 18.8% free from any event, at 14 years. Thromboembolism was the most significant single event (a probability of 18.7% at 14 years), and the Series 2300/2320 valves were associated with a probability of hemolysis of nearly 80% over 13 years.
Patients who underwent valve replacement before 1973 had a significantly greater probability of late death (31.1%) and of complications (47.1%) during the first 5 years. Those patients undergoing replacement after 1973 had a significantly greater probability of thromboembolic episodes (15.4%).
Starr-Edwards caged-ball prostheses provide an acceptable valve replacement for high-risk patients. However, the overall complication rate of 81.2% over 14 years, compared with 78% for homograft valves for the same period, does not support the adoption of this prosthesis as the valve of first choice at this hospital.
This article has been cited by other articles:
![]() |
T. A. Orszulak, H. V. Schaff, F. J. Puga, G. K. Danielson, C. J. Mullany, B. J. Anderson, and D. M. Ilstrup Event Status of the Starr-Edwards Aortic Valve to 20 Years: A Benchmark for Comparison Ann. Thorac. Surg., March 1, 1997; 63(3): 620 - 626. [Abstract] [Full Text] |
||||
![]() |
O. Lund Late Chronic Hemolysis after Valve Replacement for Aortic Stenosis. Relation to Residual Hypertrophy and Impaired Left Ventricular Function Angiology, October 1, 1990; 41(10): 836 - 847. [Abstract] [PDF] |
||||
![]() |
L. H. Edmunds Jr. Thrombotic and Bleeding Complications of Prosthetic Heart Valves Ann. Thorac. Surg., October 1, 1987; 44(4): 430 - 445. [Abstract] [PDF] |
||||
![]() |
A. Cobanoglu, W. R. E. Jamieson, D. C. Miller, C. McKinley, G. L. Grunkemeier, H. S. Floten, R. T. Miyagishima, G. F. O. Tyers, N. E. Shumway, and A. Starr A Tri-Institutional Comparison of Tissue and Mechanical Valves using a Patient-Oriented Definition of "Treatment Failure" Ann. Thorac. Surg., March 1, 1987; 43(3): 245 - 253. [Abstract] [PDF] |
||||
![]() |
A. Robles, M. Vaughan, J. K. Lau, E. Bodnar, and D. N. Ross Long-term Assessment of Aortic Valve Replacement with Autologous Pulmonary Valve Ann. Thorac. Surg., March 1, 1985; 39(3): 238 - 242. [Abstract] [PDF] |
||||
![]() |
C. Zussa, G. Ottino, M. di Summa, G. A. Poletti, G. F. Zattera, S. Pansini, and M. Morea Porcine Cardiac Bioprostheses: Evaluation of Long-term Results in 990 Patients Ann. Thorac. Surg., March 1, 1985; 39(3): 243 - 250. [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 |