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

This Article Alert me when this article is cited Alert me if a correction is posted 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 Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Orszulak, T. A. Articles by Piehler, J. M. Search for Related Content PubMed PubMed Citation Articles by Orszulak, T. A. Articles by Piehler, J. M.

The Annals of Thoracic Surgery, Vol 35, 584-589, Copyright © 1983 by The Society of Thoracic Surgeons

ARTICLES

Results of reoperation for periprosthetic leakage

TA Orszulak, HV Schaff, GK Danielson, JR Pluth, FJ Puga and JM Piehler

Between 1961 and 1978, 6,602 valves were replaced in 5,660 patients. Reoperation for periprosthetic leakage was performed in 105 patients (1.6% of the valves); early mortality was 5.7%. At reoperation, 52% of patients were in New York Heart Association Classes III and IV, whereas 72% had been in Classes III and IV prior to the primary valve replacement. Seventy-five patients had aortic periprosthetic leaks, which were distributed equally around the annulus. Among these patients, 41 (55%) had aortic valve rereplacement and 34 (45%) had suture repair. At 5 years, the survival was 94% and the event-free survival was 71%. Seventeen patients had multiple aortic valve reoperations. Hospital mortality for the second reoperation was 5.8%. At late follow-up, 19 patients had murmurs of residual or recurrent aortic periprosthetic leakage. Twenty-nine patients had mitral periprosthetic leaks, most often near the anterior leaflet. Eight patients had mitral valve rereplacement, and 21 had suture repair. At 5 years, the survival was 75% and the event-free survival was 52%. Four patients underwent multiple reoperations. At late follow-up, 5 of the 29 patients in the mitral valve group had murmurs of residual or recurrent periprosthetic leakage. One patient had tricuspid valve rereplacement. The low hospital mortality and the good late results have encouraged us to recommend an aggressive approach in the correction of periprosthetic leakage in all symptomatic and selected asymptomatic patients.

This article has been cited by other articles:

				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]

				G. De Cicco, R. Lorusso, A. Colli, F. Nicolini, C. Fragnito, T. Grimaldi, B. Borrello, A. M. Budillon, T. Gherli, and C. Beghi Aortic Valve Periprosthetic Leakage: Anatomic Observations and Surgical Results Ann. Thorac. Surg., May 1, 2005; 79(5): 1480 - 1485. [Abstract] [Full Text] [PDF]

				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]

				T. E. David, C. M. Feindel, S. Armstrong, and Z. Sun RECONSTRUCTION OF THE MITRAL ANULUSA ten-year experience J. Thorac. Cardiovasc. Surg., November 1, 1995; 110(5): 1323 - 1332. [Abstract] [Full Text]