| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1988;46:187-191
© 1988 The Society of Thoracic Surgeons
From the National Heart Hospital and the Cardiothoracic Institute, London, England
Accepted for publication February 3, 1988.
* Address reprint requests to Mr. Ross, 25 Upper Wimpole St, London W1M 7TA, England.
Long-term results with 555 aortic homografts used for isolated aortic valve replacement (AVR) between 1964 and 1986 were analyzed to assess valve performance and the time-related onset of valve-related events. The total follow-up was 2,931 patient-years. Twenty years after operation, overall survival was 51.6 ± 8.1%, freedom from valve-related death was 67.1 ± 8.9%, freedom from primary tissue failure was 12.4 ± 4.8%, freedom from infective endocarditis was 82.7 ± 4.3%, freedom from surgical technical failure was 88.1 ± 2.3%, and freedom from all complications including valve-related death was 9.0 ± 3.5%. The incidence of thromboembolism was 0.034% per patient-year (one potential event). Long-term results after homograft insertion for aortic stenosis were significantly better than those after insertion for aortic incompetence.
It is concluded that the good quality of life and the median life expectancy, which extends more than 20 years after operation, make the homograft an excellent choice for AVR.
This article has been cited by other articles:
|
|
 |
|
  T. Athanasiou, C. Jones, R. Jin, G. L. Grunkemeier, and D. N. Ross Homograft Implantation Techniques in the Aortic Position: To Preserve or Replace the Aortic Root? Ann. Thorac. Surg., May 1, 2006; 81(5): 1578 - 1585. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. S. Farivar, L. H. Cohn, E. G. Soltesz, T. Mihaljevic, J. D. Rawn, and J. G. Byrne Transcriptional profiling and growth kinetics of endothelium reveals differences between cells derived from porcine aorta versus aortic valve Eur J Cardiothorac Surg, October 1, 2003; 24(4): 527 - 534. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Ohtsuka, S. Takamoto, M. Ono, and N. Motomura Aortic root replacement and coronary interposition using a cryopreserved allograft and its branch Eur J Cardiothorac Surg, September 1, 2001; 20(3): 631 - 632. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J.-F. Legare, D. B. Ross, T. B. Issekutz, W. Ruigrok, K. Creaser, G. M. Hirsch, and T. D.G. Lee Prevention of allograft heart valve failure in a rat model J. Thorac. Cardiovasc. Surg., August 1, 2001; 122(2): 310 - 317. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P F Currie, M Codispoti, P S Mankad, and M J Godman Late aortic homograft valve endocarditis caused by Cardiobacterium hominis: a case report and review of the literature Heart, May 1, 2000; 83(5): 579 - 581. [Abstract] [Full Text]
|
|
|
|
|
|
K. Niwaya, C. J. Knott-Craig, K. Santangelo, M. M. Lane, K. Chandrasekaran, and R. C. Elkins Advantage of autograft and homograft valve replacement for complex aortic valve endocarditis Ann. Thorac. Surg., June 1, 1999; 67(6): 1603 - 1608. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Rajani, R. B. Mee, and N. B. Ratliff Evidence for rejection of homograft cardiac valves in infants J. Thorac. Cardiovasc. Surg., January 1, 1998; 115(1): 111 - 115. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. N. Mitchell, R. A. Jonas, and F. J. Schoen Pathology Of Explanted Cryopreserved Allograft Heart Valves: Comparison With Aortic Valves From Orthotopic Heart Transplants J. Thorac. Cardiovasc. Surg., January 1, 1998; 115(1): 118 - 127. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Chanda, R. Kuribayashi, T. Abe, T. V. Bilfinger, A. R. Hartman, Y. Liu, H. I. Magazine, and G. B. Stefano Nitric Oxide in Homograft Vein Function Ann. Thorac. Surg., November 1, 1997; 64(5): 1524 - 1525. [Full Text]
|
|
|
|
|
|
R. L. Prager, C. R. Fischer, B. Kong, J. P. Byrne, D. J. Jones, M. L. Hance, and O. Gago The Aortic Homograft: Evolution of Indications, Techniques, and Results in 107 Patients Ann. Thorac. Surg., September 1, 1997; 64(3): 659 - 663. [Abstract] [Full Text]
|
|
|
|
|
|
T. V. Bilfinger, A. R. Hartman, Y. Liu, H. I. Magazine, and G. B. Stefano Cryopreserved Veins in Myocardial Revascularization: Possible Mechanism for Their Increased Failure Ann. Thorac. Surg., April 1, 1997; 63(4): 1063 - 1069. [Abstract] [Full Text]
|
|
|
|
|
|
J. A. Dearani, T. A. Orszulak, H. V. Schaff, R. C. Daly, B. J. Anderson, and G. K. Danielson RESULTS OF ALLOGRAFT AORTIC VALVE REPLACEMENT FOR COMPLEX ENDOCARDITIS J. Thorac. Cardiovasc. Surg., February 1, 1997; 113(2): 285 - 291. [Abstract] [Full Text]
|
|
|
|
|
|
T. M. Sundt III, N. Rasmi, K. Wong, R. Radley-Smith, A. Khaghani, and M. H. Yacoub Reoperative aortic valve operation after homograft root replacement: Surgical options and results Ann. Thorac. Surg., August 1, 1995; 60(suppl_2): S95 - S100. [Abstract] [PDF]
|
|
|
|
|
|
R. N. Mitchell, R. A. Jonas, and F. J. Schoen Structure-function correlations in cryopreserved allograft cardiac valves Ann. Thorac. Surg., August 1, 1995; 60(suppl_2): S108 - S113. [Abstract] [PDF]
|
|
|
|
|
|
O. M. Shapira, J. D. Fonger, K. Reardon, and R. J. Shemin Unexplained fever after aortic valve replacement with cryopreserved allografts Ann. Thorac. Surg., August 1, 1995; 60(suppl_2): S151 - S155. [Abstract] [PDF]
|
|
|
|
|
|
Z. Al-Halees, N. Kumar, R. Gallo, B. Gometza, and C. M. G. Duran Pulmonary autograft for aortic valve replacement in rheumatic disease: A caveat Ann. Thorac. Surg., August 1, 1995; 60(suppl_2): S172 - S176. [Abstract] [PDF]
|
|
|
|
|
|
X. Y. Jin, D. G. Gibson, M. H. Yacoub, and J. R. Pepper Perioperative assessment of aortic homograft, toronto stentless valve, and stented valve in the aortic position Ann. Thorac. Surg., August 1, 1995; 60(suppl_2): S395 - S401. [Abstract] [PDF]
|
|
|
|
|
|
M. G. Hazekamp, D. R. Koolbergen, J. Braun, H. Sugihara, C. J. Cornelisse, Y. A. Goffin, and H. A. Huysmans In situ hybridization: A new technique to determine the origin of fibroblasts in cryopreserved aortic homograft valve explants J. Thorac. Cardiovasc. Surg., July 1, 1995; 110(1): 248 - 257. [Abstract] [Full Text]
|
|
|
|
|
|
C. J. Knott-Craig, R. C. Elkins, P. L. Stelzer, J. D. Randolph, C. McCue, P. A. Wright, and M. M. Lane Homograft replacement of the aortic valve and root as a functional unit Ann. Thorac. Surg., June 1, 1994; 57(6): 1501 - 1506. [Abstract] [PDF]
|
|
|
|
|
|
M. S. Mulligan, T. T. Tsai, J. M. Kneebone, P. A. Ward, and F. M. Lupinetti Effects of preservation techniques on in vivo expression of adhesion molecules by aortic valve allografts J. Thorac. Cardiovasc. Surg., March 1, 1994; 107(3): 717 - 723. [Abstract] [Full Text]
|
|
|
|
|
|
P. H. Schoof, A. H. Cromme-Dijkhuis, A. J. J. C. Bogers, E. J. M. Thijssen, M. Witsenburg, J. Hess, and E. Bos Aortic root replacement with pulmonary autograft in children J. Thorac. Cardiovasc. Surg., February 1, 1994; 107(2): 367 - 373. [Abstract] [Full Text]
|
|
|
|
|
|
G. Gerosa, D. N. Ross, P. E. Brucke, A. Dziatkowiak, S. Mohammad, D. Norman, J. Davies, A. Sbarbati, and D. Casarotto Aortic valve replacement with pulmonary homograftsEarly experience J. Thorac. Cardiovasc. Surg., February 1, 1994; 107(2): 424 - 437. [Abstract] [Full Text]
|
|
|
|
|
|
R. Pillai, D. Spriggings, N. Amarasena, D. J. O'Regan, A. J. Parry, and S. Westaby Stentless aortic bioprosthesis? The way forward: Early experience with the Edwards valve Ann. Thorac. Surg., July 1, 1993; 56(1): 88 - 91. [Abstract] [PDF]
|
|
|
|
|
|
G. R. Daicoff, L. M. Botero, and J. A. Quintessenza Allograft replacement of the aortic valve versus the miniroot and valve Ann. Thorac. Surg., April 1, 1993; 55(4): 855 - 859. [Abstract] [PDF]
|
|
|
|
 |
|
 D. M. Cohen Surgical Management of Congenital Heart Disease in the 1990s Arch Pediatr Adolesc Med, December 1, 1992; 146(12): 1447 - 1452. [Abstract] [PDF]
|
|
|
|
|
|
A. K. Ketosugbo, S. Basu, A. Greengart, V. Guadagnino, H. J. Wasser, M. F. Sabado, I. J. Jacobowitz, and J. N. Cunningham Jr Aortoventriculoplasty in the management of an infected cabrol graft Ann. Thorac. Surg., May 1, 1992; 53(5): 898 - 900. [Abstract] [PDF]
|
|
|
|
|
|
R. A. Hopkins, J. S. Louis, and P. C. Corcoran Ross' first homograft replacement of the aortic valve Ann. Thorac. Surg., November 1, 1991; 52(5): 1190 - 1193. [Abstract] [PDF]
|
|
|
|
|
|
D. R. Clarke Extended aortic root replacement with cryopreserved allografts: Do they hold up? Ann. Thorac. Surg., September 1, 1991; 52(3): 669 - 673. [Abstract] [PDF]
|
|
|
|
|
|
G. Gerosa, R. McKay, and D. N. Ross Replacement of the aortic valve or root with a pulmonary autograft in children Ann. Thorac. Surg., March 1, 1991; 51(3): 424 - 429. [Abstract] [PDF]
|
|
|
|
|
|
I. C. Tuna, T. A. Orszulak, H. V. Schaff, and G. K. Danielson Results of homograft aortic valve replacement for active endocarditis Ann. Thorac. Surg., April 1, 1990; 49(4): 619 - 624. [Abstract] [PDF]
|
|
|
|
|
|
A. Starr and G. L. Grunkemeier The Expected Lifetime of Porcine Valves Ann. Thorac. Surg., September 1, 1989; 48(3): 317 - 318. [PDF]
|
|
|
|
|
|
J. D. Randolph, K. Toal, P. Stelzer, and R. C. Elkins Aortic Valve and Left Ventricular Outflow Tract Replacement Using Allograft and Autograft Valves: A Preliminary Report Ann. Thorac. Surg., September 1, 1989; 48(3): 345 - 349. [Abstract] [PDF]
|
|
|
|
|
|
J. B. Zwischenberger, T. Z. Shalaby, and V. R. Conti Viable Cryopreserved Aortic Homograft for Aortic Valve Endocarditis and Annular Abscesses Ann. Thorac. Surg., September 1, 1989; 48(3): 365 - 370. [Abstract] [PDF]
|
|
|
|
|
|
E. L. Jones Freehand homograft aortic valve replacement--the learning curve: A technical analysis of the first 31 patients Ann. Thorac. Surg., July 1, 1989; 48(1): 26 - 32. [Abstract] [PDF]
|
|
|
|
 |
|
 W. S. Pierce Cardiothoracic Surgery JAMA, May 19, 1989; 261(19): 2827 - 2829. [Abstract] [PDF]
|
|
|
|
|
|
L. C. Pelletier, M. Carrier, Y. Leclerc, G. Lepage, P. deGuise, and I. Dyrda Porcine versus pericardial bioprostheses: A comparison of late results in 1,593 patients Ann. Thorac. Surg., March 1, 1989; 47(3): 352 - 361. [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 |
