Ann Thorac Surg 1982;33:554-561
© 1982 The Society of Thoracic Surgeons
Articles
Late Follow-up of the Braunwald-Cutter Valve
R.A. Jonas, M.B., B.S.,
B.G. Barratt-Boyes, M.B., Ch.M., F.R.A.C.S.*,
A.R. Kerr, M.B., Ch.B., F.R.A.C.S.,
R.M.L. Whitlock, M.B., Ch.B., F.R.A.C.P.
From The Cardiothoracic Surgical Unit, Green Lane Hospital, Auckland, New Zealand
Accepted for publication December 18, 1981.
* Address reprint requests to Sir Brian Barratt-Boyes, Cardiothoracic Surgical Unit, Green Lane Hospital, Auckland 3, New Zealand
 |
Abstract
|
|---|
A retrospective review has been made of 234 patients who received 239 Braunwald-Cutter valves (109 aortic, 130 mitral). For the aortic valve, the thromboembolic rate was very high (10.3 per 100 patient-years). This was associated with severe strut cloth wear in 94.5% of valves and with long strands of fibrin attached to the worn cloth in 58% of valves studied at reoperation or postmortem examination. The aortic poppet showed a mean decrease in volume of 4%, and poppet escape was recognized in 4 patients. The actuarial incidence of poppet escape was less than that predicted in earlier reports. There was a 4% incidence of stenosis of the valve. The hospital mortality associated with removal of the aortic Braunwald-Cutter valve and replacement with another device was 4%.
Performance of the mitral Braunwald-Cutter valve appears satisfactory to date (mean follow-up, 42 months). Its elective removal is not recommended.
|
References
|
|---|
- Blackstone EH, Kirklin JW, Pluth JR, et al. The performance of the Braunwald-Cutter aortic prosthetic valve Ann Thorac Surg 1977;23:302.[Abstract/Free Full Text]
- Tandon AP, Sengupta SM, Lukacs L, et al. Long-term clinical and hemodynamic evaluation of the Ionescu-Shiley pericardial xenograft and the Braunwald-Cutter and Björk-Shiley prostheses in the mitral position J Thorac Cardiovasc Surg 1978;76:763.[Abstract]
- Barratt-Boyes BG, Roche AHG, Whitlock RML. Six year review of the results of freehand aortic valve replacement using an antibiotic sterilized homograft valve Circulation 1977;55:353.[Abstract/Free Full Text]
- Braunwald NS, Tatooles C, Turina M, et al. New developments in the design of fabric-covered prosthetic heart valves J Thorac Cardiovasc Surg 1971;62:673.[Medline]
- Starr A: Discussion of Braunwald et al [4].
- DeBakey M: Discussion of Braunwald et al [4].
- Braunwald NS, Bonchek LI. Prevention of thrombus formation on rigid prosthetic heart valves by the ingrowth of autogenous tissue J Thorac Cardiovasc Surg 1967;54:630.[Medline]
- Pluth JR, Danielson GK. Poppet embolization in cloth-covered Silastic poppet valves Mayo Clin Proc 1974;49:811.[Medline]
- General communication from Cutter Biomedical to surgeons known to have used Braunwald-Cutter valves. Jan 12, 1979.
- Parr GVS, Kirklin JW, Blackstone EH. The early risk of re-replacement of aortic valves Ann Thorac Surg 1977;23:319.[Abstract/Free Full Text]
- Karp RB, Kirklin JW, Kouchoukos NT, et al. Comparison of three devices to replace the aortic valve Circulation 49, 50: Suppl 1974;2:163.
- Macmanus Q, Grunkemeier GL, Lambert LE, et al. Year of operation as a risk factor in the late results of valve replacement J Thorac Cardiovasc Surg 1980;80:834.[Abstract]
This article has been cited by other articles:
|
|
|
|
 
S. Aoyagi, S. Fukunaga, K. Arinaga, Y. Yokokura, H. Yokokura, and N. Egawa
Late Re-operation for Aortic and Mitral Starr-Edwards Ball Valve Prostheses
Asian Cardiovascular and Thoracic Annals,
December 1, 2006;
14(6):
467 - 471.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. A. S. Marrin, J. D. Birkmeyer, and G. T. O'Connor
The Bjork-Shiley dilemma
Ann. Thorac. Surg.,
June 1, 1993;
55(6):
1361 - 1364.
[PDF]
|
|
|
|
|
|
|
S. A. Abdulali, N. P. Silverton, F. J. Schoen, N. R. Saunders, and M. I. Ionescu
Late Outcome of Patients with Braunwald-Cutter Mitral Valve Replacement
Ann. Thorac. Surg.,
December 1, 1984;
38(6):
579 - 585.
[Abstract]
[PDF]
|
|
|
Top
Abstract
References
