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Ann Thorac Surg 1989;47:831-837
© 1989 The Society of Thoracic Surgeons
Minneapolis Heart Institute, Minneapolis, and St. Paul Heart and Lung Center, St. Paul, Minnesota USA
* Address reprint requests to Dr Arom, 920 E 28th St, Suite 420, Minneapolis, MN 55407.
Records of 1,298 consecutive patients who had received the St. Jude Medical prosthesis were reviewed (713 male and 585 female patients; mean age, 61.79 ± 13.4 years). Early mortality was 5.7% (74 patients). Ninety-three percent complete follow-up was accomplished for the 1,224 patients who left the hospital (4,306.50 patient-years). One hundred ninety-two of these patients died, a late mortality of 16.9%. Sixty-four patients experienced thromboembolic episodes (17 major and 35 permanent). Twenty-four patients had anticoagulant-related bleeding, 4 had valve thrombosis, 7 had prosthetic valve endocarditis, 9 had paravalvular leak, and 10 underwent reoperation. There was no structural valve failure in this series. Twenty-two of the 118 patients who had valve-related complications died; another 15 patients died of sudden and unknown causes. Therefore, the total number of valve-related deaths was 37. Of those patients who survived, New York Heart Association functional class improved significantly (98% in classes II and III preoperatively and 96% in classes I and II postoperatively). Linearized rates for thromboembolism, valve thrombosis, and anticoagulant-related bleeding were [equation] patientyears, respectively. The actuarial estimate of incidence free from all complications, operative death, and valve-related death was 66.9% ± 8.2% at the end of 9 years. In spite of old age and advanced heart disease, the patients who received the St. Jude Medical prosthesis had very good results over a 10-year period.
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K. V. Arom St. Jude medical prosthesis: Another 10-year follow-up report Ann. Thorac. Surg., September 1, 1993; 56(3): 403 - 404. [PDF]
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J. M. Kratz, F. A. Crawford, R. M. Sade, A. J. Crumbley, and M. R. Stroud St. Jude prosthesis for aortic and mitral valve replacement: A ten-year experience Ann. Thorac. Surg., September 1, 1993; 56(3): 462 - 468. [Abstract] [PDF]
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A. C. Fiore, K. S. Naunheim, S. D'Orazio, G. C. Kaiser, L. R. McBride, D. G. Pennington, P. S. Peigh, V. L. Willman, A. J. Labovitz, and H. B. Barner Mitral valve replacement: Randomized trial of St. Jude and medtronic-hall prostheses Ann. Thorac. Surg., July 1, 1992; 54(1): 68 - 73. [Abstract] [PDF]
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C. W. Akins Mechanical cardiac valvular prostheses Ann. Thorac. Surg., July 1, 1991; 52(1): 161 - 172. [Abstract] [PDF]
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R. J. Keenan, J. M. Armitage, A. Trento, R. D. Siewers, R. L. Hardesty, H. T. Bahnson, and B. P. Griffith Clinical experience with the Medtronic-Hall valve prosthesis Ann. Thorac. Surg., November 1, 1990; 50(5): 748 - 753. [Abstract] [PDF]
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J. H. Wang The design simplicity and clinical elegance of the St. Jude Medical heart valve Ann. Thorac. Surg., September 1, 1989; 48(3_suppl_1): S55 - S56. [PDF]
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