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Ann Thorac Surg 2004;77:527-531
© 2004 The Society of Thoracic Surgeons

Original article: cardiovascular

Midterm evaluation of the Sorin Bicarbon heart valve prosthesis: single-center experience

Nicola Vitale, MD, PhDa*, Giangiuseppe Cappabianca, MDa, Giuseppe Visicchio, MDa, Corrado Fondacone, MDa, Vito Paradiso, MDa, Giuseppe Mannatrizio, MDa, Luigi de Luca Tupputi Schinosa, MDa

a Department of Cardiac Surgery, Policlinico Hospital, University of Bari, Bari, Italy

Accepted for publication July 10, 2003.

* Address reprint requests to Dr Vitale, Istituto di Cardiochirurgia, Policlinico, Piazza Giulio Cesare 11, 70124 Bari, Italy.
e-mail: nicola_vitale{at}lycos.co.uk

BACKGROUND: The purpose of this study was to perform midterm evaluation of the clinical performance of the Sorin Bicarbon mechanical heart valve prosthesis.

METHODS: From November 1992 to December 2002, 328 patients underwent isolated aortic (AVR; 156) or mitral (MVR; 172) valve replacement with the Sorin Bicarbon mechanical valve. Concomitant surgery was performed in 83 patients (25.2%).

RESULTS: Total hospital mortality was 5.2%. Survival at 7 years was 79.5% for AVR and 82.4% for MVR. Kaplan-Meier freedoms from valve-related complications were as follows: thromboembolism 92.7% (AVR 94.8%, MVR 92.1%); bleeding 93% (AVR 91.9%, MVR 94.5%); nonstructural dysfunction 96.6% (AVR 94.7%; MVR 97.9%); endocarditis 97.7% (AVR 97.4%, MVR 98.1%); and reoperation 95.7% (AVR 96.6%, MVR 93.9%). Overall freedom from valve-related death was 93.2% (AVR 99.3%, MVR 91.2%). At the end of follow-up, 88.9% of survivors were in New York Heart Association class I or II.

CONCLUSIONS: The Sorin Bicarbon valve is a satisfactory mechanical valve prosthesis with low mortality and morbidity and good functional results.




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