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Adnan Cobanoglu
Gary L. Grunkemeier
Robert T. Miyagishima
Norman E. Shumway
Albert Starr
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Ann Thorac Surg 1987;43:245-253
© 1987 The Society of Thoracic Surgeons

Articles

A Tri-Institutional Comparison of Tissue and Mechanical Valves using a Patient-Oriented Definition of "Treatment Failure"

Adnan Cobanoglu, M.D.*, W.R. Eric Jamieson, M.D., D. Craig Miller, M.D., Cindy McKinley, B.S., Gary L. Grunkemeier, Ph.D., H. Storm Floten, M.D., Robert T. Miyagishima, M.D., G. Frank O. Tyers, M.D., Norman E. Shumway, M.D., Ph.D., Albert Starr, M.D.

From the Division of Cardiopulmonary Surgery, Oregon Health Sciences University, and the Heart Institute at St. Vincent Hospital and Medical Center, Portland, OR; the Division of Cardiothoracic Surgery, University of British Columbia, Vancouver, BC, Canada; and the Department of Cardiovascular Surgery, Stanford University School of Medicine, Stanford, CA

* Address reprint requests to Dr. Cobanoglu, Division of Cardiopulmonary Surgery, Oregon Health Sciences University, 3181 SW Sam Jackson Park Rd, Portland, OR 97201

Selection of valve type for predominant usage is obscured by limiting the analysis to prosthesis-related rather than patient-oriented failure modes. In this report, "treatment failure" is defined as a valve-related death or permanent patient disability; successful reoperations are excluded, and emboli with permanent residua are included. Results with the Starr-Edwards Silastic ball valve (Oregon) and the Hancock (Stanford) and Carpentier-Edwards (Vancouver) porcine valves are compared using this new definition of treatment failure.




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