| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 34, 96-106, Copyright © 1982 by The Society of Thoracic Surgeons
LH Edmunds Jr
Thromboembolic complications associated with twelve different models of
currently available aortic and mitral valve prostheses are reviewed. There
is a need to standardize definitions of thrombotic phenomena and to report
these events for valve model and anatomic location actuarially and in terms
of incidence per 100 patient-years of follow- up. The incidence of
thromboemboli is less than 2 per 100 patient-years for aortic biological
valves without coumarin anticoagulation and for the best mechanical valves
with coumarin. For mitral biological prostheses with and without coumarin,
and for the best mechanical mitral valves with coumarin, the incidence
approximates 4 per 100 patient years. The incidence of mortality and
morbidity due to coumarin anticoagulation in patients with prosthetic
valves is 0.17 and 2.2 per 100 patient-years, respectively. Omission, poor
control or withdrawal of coumarin anticoagulation substantially increases
the incidence of thromboemboli in patients with mechanical valves. Some
reports suggest that the combination of dipyridamole and coumarin may
further reduce thromboembolic complications without increasing bleeding
problems. Atrial fibrillation clearly increases thromboembolic
complications, but the importance of other factors such as atrial clot,
large left atrial size, history of emboli, and first postoperative year is
less definite.
ARTICLES
Thromboembolic complications of current cardiac valvular prostheses
This article has been cited by other articles:
|
|
 |
|
  A. Russo, F. Grigioni, J.-F. Avierinos, W. K. Freeman, R. Suri, H. Michelena, R. Brown, T. M. Sundt, and M. Enriquez-Sarano Thromboembolic Complications After Surgical Correction of Mitral Regurgitation: Incidence, Predictors, and Clinical Implications J. Am. Coll. Cardiol., March 25, 2008; 51(12): 1203 - 1211. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. W. Hammon Extracorporeal Circulation: Perfusion System Card. Surg. Adult, January 1, 2008; 3(2008): 350 - 370. [Full Text]
|
|
|
|
|
|
N. D. Desai and G. T. Christakis Bioprosthetic Aortic Valve Replacement: Stented Pericardial and Porcine Valves Card. Surg. Adult, January 1, 2008; 3(2008): 857 - 894. [Full Text]
|
|
|
|
 |
|
 U. Dandekar, M. Kalkat, and C. Smallpeice Fatal early acute thrombosis of mechanical mitral prosthesis Interactive CardioVascular and Thoracic Surgery, August 1, 2006; 5(4): 460 - 461. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H.P. Kuhl and P. Hanrath The impact of transesophageal echocardiography on daily clinical practice Eur J Echocardiogr, December 1, 2004; 5(6): 455 - 468. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. T. Tong, R. Roudaut, M. Ozkan, A. Sagie, M. S. A. Shahid, S. C. Pontes Jr, F. Carreras, S. E. Girard, S. Arnaout, R. F. Stainback, et al. Transesophageal echocardiography improves risk assessment of thrombolysis of prosthetic valve thrombosis: results of the international PRO-TEE registry J. Am. Coll. Cardiol., January 7, 2004; 43(1): 77 - 84. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. A. Hessel II and L. H. Edmunds Jr. Extracorporeal Circulation: Perfusion Systems Card. Surg. Adult, January 1, 2003; 2(2003): 317 - 338. [Full Text]
|
|
|
|
|
|
N. D. Desai and G. T. Christakis Stented Mechanical/Bioprosthetic Aortic Valve Replacement Card. Surg. Adult, January 1, 2003; 2(2003): 825 - 856. [Full Text]
|
|
|
|
 |
|
 K. Ananthasubramaniam, J. N. Beattie, H. S. Rosman, V. Jayam, and S. Borzak How Safely and for How Long Can Warfarin Therapy Be Withheld in Prosthetic Heart Valve Patients Hospitalized With a Major Hemorrhage? Chest, February 1, 2001; 119(2): 478 - 484. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Yamak, M. Emir, T. A Ulus, A. Aksoyek, Z. Iscan, S F. Katircioglu, O. Tasdemir, B. Yamak, M. Emir, T. A Ulus, et al. Pregnancy With St. Jude Medical Mitral Valve Prosthesis Asian Cardiovasc Thorac Ann, June 1, 2000; 8(2): 127 - 129. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ozkan, C. Kaymaz, C. Kirma, K. Sonmez, N. Ozdemir, M. Balkanay, C. Yakut, and U. Deligonul Intravenous thrombolytic treatment of mechanical prosthetic valve thrombosis: a study using serial transesophageal echocardiography J. Am. Coll. Cardiol., June 1, 2000; 35(7): 1881 - 1889. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. D. Douketis, M. A. Crowther, S. S. Cherian, and C. B. Kearon Physician Preferences for Perioperative Anticoagulation in Patients With a Mechanical Heart Valve Who Are Undergoing Elective Noncardiac Surgery Chest, November 1, 1999; 116(5): 1240 - 1246. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. M. G. Paez and E. Jorge-Herrero Assessment of Pericardium in Cardiac Bioprostheses: A Review J Biomater Appl, April 1, 1999; 13(4): 351 - 388. [Abstract] [PDF]
|
|
|
|
 |
|
 R. Manteiga, J. C. Souto, A. Altes, J. Mateo, A. Aris, J. M Dominguez, X. Borras, F. Carreras, and J. Fontcuberta Short-course thrombolysis as the first line of therapy for cardiac valve thrombosis J. Thorac. Cardiovasc. Surg., April 1, 1998; 115(4): 780 - 784. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Potyk and P. Raudaskoski Preoperative Cardiac Evaluation for Elective Noncardiac Surgery Arch Fam Med, March 1, 1998; 7(2): 164 - 173. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T.-M. Lee, N.-K. Chou, S.-F. Su, Y.-J. Lin, M.-F. Chen, C.-S. Liau, Y.-T. Lee, and S.-H. Chu Left Atrial Spontaneous Echo Contrast in Asymptomatic Patients With a Mechanical Valve Prosthesis Ann. Thorac. Surg., December 1, 1996; 62(6): 1790 - 1795. [Abstract] [Full Text]
|
|
|
|
|
|
J. P. Slater, E. A. Rose, H. R. Levin, O. H. Frazier, J. K. Roberts, A. D. Weinberg, and M. C. Oz Low Thromboembolic Risk Without Anticoagulation Using Advanced-Design Left Ventricular Assist Devices Ann. Thorac. Surg., November 1, 1996; 62(5): 1321 - 1327. [Abstract] [Full Text]
|
|
|
|
 |
|
 W. Vongpatanasin, L. D. Hillis, and R. A. Lange Prosthetic Heart Valves N. Engl. J. Med., August 8, 1996; 335(6): 407 - 416. [Full Text] [PDF]
|
|
|
|
|
|
H. Pouleur and M. Buyse EFFECTS OF DIPYRIDAMOLE IN COMBINATION WITH ANTICOAGULANT THERAPY ON SURVIVAL AND THROMBOEMBOLIC EVENTS IN PATIENTS WITH PROSTHETIC HEART VALVESA meta-analysis of the randomized trials J. Thorac. Cardiovasc. Surg., August 1, 1995; 110(2): 463 - 472. [Abstract] [Full Text]
|
|
|
|
|
|
T.-M. Lee, S.-H. Chu, L.-C. Wang, and Y.-T. Lee Thrombolysis for Obstructed CarboMedics Mitral Valve Prosthesis Ann. Thorac. Surg., February 1, 1995; 59(2): 509 - 511. [Abstract] [Full Text]
|
|
|
|
|
|
D. Horstkotte, H. D. Schulte, W. Bircks, and B. E. Strauer Lower intensity anticoagulation therapy results in lower complication rates with the St. Jude Medical prosthesis J. Thorac. Cardiovasc. Surg., April 1, 1994; 107(4): 1136 - 1145. [Abstract] [Full Text]
|
|
|
|
|
|
M. H. Eckman, H. J. Levine, and S. G. Pauker Effect of Laboratory Variation in the Prothrombin-Time Ratio on the Results of Oral Anticoagulant Therapy N. Engl. J. Med., September 2, 1993; 329(10): 696 - 702. [Abstract] [Full Text]
|
|
| 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 |
