HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Arnt E. Fiane Kjell Saatvedt Jan L. Svennevig Odd Geiran Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Fiane, A. E. Articles by Frøysaker, T. Search for Related Content PubMed PubMed Citation Articles by Fiane, A. E. Articles by Frøysaker, T.

Ann Thorac Surg 1995;60:1053-1058
© 1995 The Society of Thoracic Surgeons

---

Articles

The carbomedics valve: Midterm follow-up with analysis of risk factors

Department of Cardiothoracic Surgery, Rikshospitalet, University of Oslo, Oslo, Norway

Accepted for publication May 22, 1995.

^* Address reprint requests to Dr Fiane, Department of Surg A, Rikshospitalet, Pilestredet 32, 0027 Oslo, Norway.

Background.: This study examined the midterm results with the CarboMedics prosthetic valve.

Methods.: From 1987 through 1991 a total of 569 patients received the CarboMedics prosthesis.

Results.: Early mortality was 4.9% and related to emergency operation, presence of diabetes mellitus, coronary artery disease, preoperative New York Heart Association class, duration of cardiopulmonary bypass, and aortic cross-clamp time. Midterm follow-up with respect to mortality was 100% complete. All patients were followed up in the hospital after 1 year. In addition 86% of the patients responded to a questionnaire. Mean follow-up was 3 years (range, 0 to 5.6 years). Cumulative survival at 1 and 4 years was 91.2% ± 1.2% and 83.7% ± 1.8%, respectively. Five patients experienced obstructive valve thrombosis (0.3%/patient-year), 16 patients had major thromboembolic events (0.9%/patient-year), and 10 patients had major warfarin-related bleeding (0.6%/patient-year) requiring hospitalization or blood transfusions. Eight patients were reoperated on for paraprosthetic leak (0.4%/patient-year). Prosthetic valve endocarditis developed in 4 patients (0.2%/patient-year). No structural valve failure was observed.

Conclusions.: Midterm follow-up demonstrates that the CarboMedics mechanical prosthesis is reliable and has an acceptable rate of valve-related complications.

This article has been cited by other articles:

				A. Karimi, N. Movahedi, A. Salehiomran, M. Marzban, S. Hesameddin Abbasi, and P. Yazdanifard Mortality in Open Heart Surgery with Intraaortic Balloon Pump Support Asian Cardiovasc Thorac Ann, August 1, 2008; 16(4): 301 - 304. [Abstract] [Full Text] [PDF]

				M. T. Grattan and L. I. Thulin Leaflet arrest in St Jude Medical and CarboMedics valves: an experimental study Eur J Cardiothorac Surg, June 1, 2004; 25(6): 953 - 957. [Abstract] [Full Text] [PDF]

				A. M. Gillinov, E. H. Blackstone, J. M. Alster, J. M. Craver, W. A. Baumgartner, S. A. Brewster, L. H. Kleinman, and N. G. Smedira The Carbomedics Top Hat supraannular aortic valve: a multicenter study Ann. Thorac. Surg., April 1, 2003; 75(4): 1175 - 1180. [Abstract] [Full Text] [PDF]

				M. J.R. Dalrymple-Hay, R. Pearce, S. Dawkins, M. P. Haw, R. K. Lamb, S. A. Livesey, and J. L. Monro A single-center experience with 1,378 CarboMedics mechanical valve implants Ann. Thorac. Surg., February 1, 2000; 69(2): 457 - 463. [Abstract] [Full Text] [PDF]

				W. R. E. Jamieson, R. T. Miyagishima, G. L. Grunkemeier, E. Germann, C. Henderson, G. J. Fradet, L. H. Burr, and S. V. Lichtenstein Bileaflet mechanical prostheses performance in mitral position Eur J Cardiothorac Surg, June 1, 1999; 15(6): 786 - 794. [Abstract] [Full Text] [PDF]

				H. Kumano, S. Suehiro, T. Shibata, K. Hattori, and H. Kinoshita Stuck valve leaflet detected by intraoperative transesophageal echocardiography Ann. Thorac. Surg., May 1, 1999; 67(5): 1484 - 1485. [Abstract] [Full Text] [PDF]

				T. K. Rosengart, M. O'Hara, S. J. Lang, W. Ko, N. Altorki, K. H. Krieger, and O. W. Isom Outcome analysis of 245 CarboMedics and St. Jude valves implanted at the same institution Ann. Thorac. Surg., November 1, 1998; 66(5): 1684 - 1691. [Abstract] [Full Text] [PDF]

				C. T. Bajzer, W. J. Stewart, D. M. Cosgrove, S. J. Azzam, K. L. Arheart, and A. L. Klein Tricuspid valve surgery and intraoperative echocardiography: Factors affecting survival, clinical outcome, and echocardiographic success J. Am. Coll. Cardiol., October 1, 1998; 32(4): 1023 - 1031. [Abstract] [Full Text] [PDF]

				A. E. Fiane, O. R. Geiran, and J. L. Svennevig Up to eight years' follow-up of 997 patients receiving the CarboMedics prosthetic heart valve Ann. Thorac. Surg., August 1, 1998; 66(2): 443 - 448. [Abstract] [Full Text] [PDF]

				O. E. Arafa, T. H. Pedersen, J. L. Svennevig, E. Fosse, and O. R. Geiran Intraaortic Balloon Pump in Open Heart Operations: 10-Year Follow-up With Risk Analysis Ann. Thorac. Surg., March 1, 1998; 65(3): 741 - 747. [Abstract] [Full Text] [PDF]

				W. R. E. Jamieson, A. I. Munro, R. T. Miyagishima, G. L. Grunkemeier, L. H. Burr, S. V. Lichtenstein, and G. F. O. Tyers Multiple mechanical valve replacement surgery comparison of St. Jude Medical and CarboMedics prostheses Eur J Cardiothorac Surg, February 1, 1998; 13(2): 151 - 159. [Abstract] [Full Text] [PDF]

				T. E. David, V. L. Gott, L. A. Harker, G. E. Miller Jr, D. C. Naftel, A. G. G. Turpie, and C. W. Akins Mechanical Valves Ann. Thorac. Surg., November 1, 1996; 62(5): 1567 - 1570. [Full Text]