Long-term performance of heart valve prostheses

Grunkemeier, Gary L.; Li, Hui Hua; Naftel, David C.; Starr, Albert; Rahimtoola, Shahbudin H.

doi:10.1053/cd.2000.v25.a103682

Cited by 172 publications

(140 citation statements)

References 141 publications

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“…No differences were found in survival, thromboembolism, and bleeding rates but -as expected -a higher rate of valve failure and reoperation following implantation of bioprostheses. The choice between a mechanical valve and a bioprosthesis in adult patients is mainly determined by assessing the risk of anticoagulant-related bleeding and thromboembolism with a mechanical valve versus the risk of valve degeneration with a bioprosthesis and by considering the patient's goals, values and preferences for life and healthcare [39][40][41][42].…”

Section: Choice Of the Prosthetic Valve With Special Emphasisis On Sumentioning

confidence: 99%

Recent developments for surgical aortic valve replacement: The concept of sutureless valve technology

Carrel¹,

Englberger²,

Stalder³

2013

Open J Cardiol

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Section: Choice Of the Prosthetic Valve With Special Emphasisis On Sumentioning

confidence: 99%

Recent developments for surgical aortic valve replacement: The concept of sutureless valve technology

Carrel¹,

Englberger²,

Stalder³

2013

Open J Cardiol

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“…The choice between the types of prostheses in adults is determined primarily by assessing the risk of bleeding related to anticoagulation, with a mechanical prosthesis versus the risk of structural valve deterioration, with a bioprosthesis [15,16].…”

Section: Introductionmentioning

confidence: 99%

Resultados de pacientes submetidos à cirurgia de substituição valvar aórtica usando próteses mecânicas ou biológicas

Almeida

Picon

Wender

2011

Rev Bras Cir Cardiovasc

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Resultados de pacientes submetidos à cirurgia de substituição valvar aórtica usando próteses mecânicas ou biológicasOutcomes of patients subjected to aortic valve replacement surgery using mechanical or biological prosthesesThis study was carried out at Clinics Hospital of Porto Alegre, Porto Alegre, RS, Brazil. AbstractObjective: This paper evaluates outcomes in patients subjected to surgery for replacement of the aortic valve using biological or mechanical substitutes, where selection of the type of prosthesis is relevant.Methods: Three hundred and one patients, randomly selected, who had been subjected to aortic valve replacement surgery between 1990 and 2005, with a maximum follow-up period of 20 years.Results: Survival at 5, 10 and 15 years after surgery using mechanical substitute was 83.9%, 75.4% and 60.2% and, for biological substitute, was 89.3%, 70.4% and 58.4%, respectively (P=0.939). Factors associated with death were: age, obesity, pulmonary disease, arrhythmia, bleeding and aortic valve failure. Probability free of reoperation for these patients at 5, 10 and 15 years after surgery using mechanical substitute was 97.9%, 95.8% and 95.8% and, for those using bioprostheses, was 94.6%, 91.0% and 83.3%, respectively (P=0.057). Factors associated with reoperation were: renal failure, prosthesis endocarditis and age. Probability free of bleeding events at 5, 10 and 15 years after surgery using mechanical substitute was 94.5%, 91.7% and 91.7% and, for bioprostheses, was 98.6%, 97.8% and 97.8%, respectively (P=0.047). Factors associated with bleeding events were: renal failure and mechanical prostheses.Conclusions: The authors have concluded that: 1) mortality was statistically similar in the groups; 2) patient characteristics at baseline were a major determinant of late mortality after surgery; 3) there was a tendency toward reoperation in the bioprostheses group; 4) patients using mechanical prosthesis had more bleeding events as time passed; 5) data presented in this paper is in accordance with current literature. Descriptors 327Almeida AS, et al. -Outcomes of patients subjected to aortic valve replacement surgery using mechanical or biological prostheses Bras Cir Cardiovasc 2011;26(3):326-37 Rev

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“…The surgical treatment for patients with aortic valve stenosis (AS) complicated by coronary artery disease (CAD) is generally coronary artery bypass grafting (CABG) and aortic valve replacement (AVR), 1) however, in considerable patients with low left ventricular ejection fraction (LVEF), AVR results in little improvement in cardiac function, postoperative high mortality and congestive heart failure (CHF).…”

Section: Introductionmentioning

confidence: 99%

Aortic Valve Replacement Combined with the Endoventricular Patch Technique for Aortic Valve Stenosis Complicated by Ischemic Heart Disease

Morimoto

Kimura

Nishimura

et al. 2011

ATCS

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The indication for aortic valve replacement (AVR) combined left ventricular (LV) plasty in the patient with aortic valve stenosis (AS) complicated by ischemic heart disease is controversial. We describe a case of AS with ischemic heart disease of a patient who underwent a successful surgical treatment, AVR combined with the endoventricular patch technique. The patient was an 82-year-old woman who suffered from heart failure, New York Heart Association (NYHA) class III. The heart failure derived from AS and ischemic heart disease with severely compromised LV function. She underwent AVR combined with the endoventricular patch technique and the postoperative course was uneventful. She has been well with NYHA class I for about 5 years after the operation without heart failure.

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Long-term performance of heart valve prostheses

Cited by 172 publications

References 141 publications

Recent developments for surgical aortic valve replacement: The concept of sutureless valve technology

Recent developments for surgical aortic valve replacement: The concept of sutureless valve technology

Resultados de pacientes submetidos à cirurgia de substituição valvar aórtica usando próteses mecânicas ou biológicas

Aortic Valve Replacement Combined with the Endoventricular Patch Technique for Aortic Valve Stenosis Complicated by Ischemic Heart Disease

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