HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Janardan P. Dhasmana Eugene H. Blackstone John W. Kirklin Nicholas T. Kouchoukos Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Dhasmana, J. P. Articles by Kouchoukos, N. T. Search for Related Content PubMed PubMed Citation Articles by Dhasmana, J. P. Articles by Kouchoukos, N. T.

Ann Thorac Surg 1983;35:170-178
© 1983 The Society of Thoracic Surgeons

---

Articles

Factors Associated With Periprosthetic Leakage Following Primary Mitral Valve Replacement: With Special Consideration of the Suture Technique

From the Department of Surgery, University of Alabama in Birmingham School of Medicine and Medical Center, Birmingham, AL

Accepted for publication January 6, 1982.

Among 435 patients without native valve endocarditis who were followed up to 69 months after primary mitral valve replacement, 25 developed documented periprosthetic leakage. In 10 patients this was associated with prosthetic valve infection. No evidence of prosthetic infection was found in the remaining 15 patients with documented leakages, and they form the basis of the study. Multivariate Cox regression analysis indicated that leakage in the absence of infection was strongly associated with the use of small monofilament suture (2-0 or 3-0 versus 1-0) in a continuous suture technique (92.0% actuarially leak free by 43 months versus 99.0% for continuous 1-0 monofilament sutures or pledgeted mattress sutures; p = 0.01) and with annular calcification (p = 0.01). We did not find (p > 0.2) the functional type of mitral valve lesion or its pathology, or the type and size of prosthesis used, to be incremental risk factors.

This article has been cited by other articles:

				M. Ryomoto, M. Mitsuno, S. Fukui, and Y. Miyamoto Repair of perivalvular leakage without re-replacement of prosthetic valves Eur J Cardiothorac Surg, August 1, 2011; 40(2): 525 - 526. [Abstract] [Full Text] [PDF]

				D. J. LaPar, G. Ailawadi, C. M. Bhamidipati, M. Singh, D. Dare, J. A. Kern, and I. L. Kron Use of a nonpledgeted suture technique is safe and efficient for aortic valve replacement J. Thorac. Cardiovasc. Surg., February 1, 2011; 141(2): 388 - 393. [Abstract] [Full Text] [PDF]

				S. K. Nair, G. Bhatnagar, O. Valencia, and V. Chandrasekaran Effect of Valve Suture Technique on Incidence of Paraprosthetic Regurgitation and 10-Year Survival Ann. Thorac. Surg., April 1, 2010; 89(4): 1171 - 1179. [Abstract] [Full Text] [PDF]

				T. Gudbjartsson, T. Absi, and S. Aranki Mitral Valve Replacement Card. Surg. Adult, January 1, 2008; 3(2008): 1031 - 1068. [Full Text]

				G. De Cicco, C. Russo, A. Moreo, C. Beghi, C. Fucci, P. Gerometta, and R. Lorusso Mitral valve periprosthetic leakage: anatomical observations in 135 patients from a multicentre study Eur J Cardiothorac Surg, December 1, 2006; 30(6): 887 - 891. [Abstract] [Full Text] [PDF]

				L. Englberger, H. V. Schaff, W. R. E. Jamieson, E. D. Kennard, K. A. Im, R. Holubkov, T. P. Carrel, and for the AVERT Investigators Importance of implant technique on risk of major paravalvular leak (PVL) after St. Jude mechanical heart valve replacement: a report from the Artificial Valve Endocarditis Reduction Trial (AVERT) Eur J Cardiothorac Surg, December 1, 2005; 28(6): 838 - 843. [Abstract] [Full Text] [PDF]

				A Ionescu, A G Fraser, and E G Butchart Prevalence and clinical significance of incidental paraprosthetic valvar regurgitation: a prospective study using transoesophageal echocardiography Heart, November 1, 2003; 89(11): 1316 - 1321. [Abstract] [Full Text] [PDF]

				A. Moneta, E. Villa, and F. Donatelli An alternative technique for non-infective paraprosthetic leakage repair Eur J Cardiothorac Surg, June 1, 2003; 23(6): 1074 - 1075. [Abstract] [Full Text] [PDF]

				T. Gudbjartsson, S. Aranki, and L. H. Cohn Mechanical/Bioprosthetic Mitral Valve Replacement Card. Surg. Adult, January 1, 2003; 2(2003): 951 - 986. [Full Text]

				O. Di Gregorio, C. Nardi, A. Milano, M. De Carlo, M. Grana, and U. Bortolotti Dissection of atrial septum after mitral valve replacement Ann. Thorac. Surg., May 1, 2001; 71(5): 1670 - 1672. [Abstract] [Full Text] [PDF]

				M. Weinrich, T. P. Graeter, F. Langer, and H.-J. Schafers Left ventricular-right atrial fistula complicating redo mitral valve replacement Ann. Thorac. Surg., January 1, 2001; 71(1): 343 - 345. [Abstract] [Full Text] [PDF]

				S. John, E. Ravikumar, C. N. John, and V. V. Bashi 25-year experience with 456 combined mitral and aortic valve replacement for rheumatic heart disease Ann. Thorac. Surg., April 1, 2000; 69(4): 1167 - 1172. [Abstract] [Full Text] [PDF]

				M. Genoni, D. Franzen, P. Vogt, B. Seifert, R. Jenni, A. Kunzli, U. Niederhauser, and M. Turina Paravalvular leakage after mitral valve replacement: improved long-term survival with aggressive surgery? Eur J Cardiothorac Surg, January 1, 2000; 17(1): 14 - 19. [Abstract] [Full Text] [PDF]

				P. Ruchat, M. Hurni, A. P. Fischer, and H. Sadeghi Semicontinuous Suture Technique for All Prosthetic Valve Insertions: The "Hoist" Technique Ann. Thorac. Surg., March 1, 1998; 65(3): 859 - 860. [Abstract] [Full Text] [PDF]

				Y. Terada, T. Mitsui, and S. Gomi Periprosthetic Mitral Leakage in a Patient With a Prior Aortic Valve Prosthesis Ann. Thorac. Surg., February 1, 1997; 63(2): 597 - 597. [Full Text]

				P. B. Dobrin Surgical Manipulation and the Tensile Strength of Polypropylene Sutures Arch Surg, June 1, 1989; 124(6): 665 - 668. [Abstract] [PDF]

				Y. Okita, S. Miki, K. Kusuhara, Y. Ueda, T. Tahata, Y. Tsukamoto, K. Yamanaka, and S. Shiraishi Intractable Hemolysis Caused by Perivalvular Leakage Following Mitral Valve Replacement with St. Jude Medical Prosthesis Ann. Thorac. Surg., July 1, 1988; 46(1): 89 - 92. [Abstract] [PDF]

				A. Damle, J. Coles, J. Teijeira, C. Pelletier, and J. Callaghan A Six-Year Study of the Omniscience Valve in Four Canadian Centers Ann. Thorac. Surg., May 1, 1987; 43(5): 513 - 521. [Abstract] [PDF]

				G. M. Stiles, J. A. Kernen, and Q. R. Stiles Suture Technique in Preventing Dehiscence of Prosthetic Mitral Valves Arch Surg, October 1, 1986; 121(10): 1136 - 1140. [Abstract] [PDF]

				F. Alajmo and M. Vaccari Polypropylene Suture Fracture Ann. Thorac. Surg., April 1, 1985; 39(4): 400 - 400. [PDF]

				R. DeWall, L. C. Pelletier, A. Panebianco, G. Hicks, B. Schuster, R. Bonan, J.-P. Martineau, and L. Yip Five-Year Clinical Experience with the Omniscience Cardiac Valve Ann. Thorac. Surg., September 1, 1984; 38(3): 275 - 280. [Abstract] [PDF]

				V. Aldrete Polypropylene Suture Fracture Ann. Thorac. Surg., March 1, 1984; 37(3): 264 - 264. [PDF]