Mitral valve replacement with the St. Jude medical prosthesis: a 15-year follow-up

Rémadi, Jean-Paul; Bizouarn, Philippe; Baron, Olivier; Habash, Oussama Al; Despins, P; Michaud, Jean-Luc; Duveau, D.

doi:10.1016/s0003-4975(98)00467-6

Cited by 31 publications

(23 citation statements)

References 14 publications

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“…Our results are comparable with other experiences with bileaflet mechanical prosthesis [14][15][16][17] . In addition, the 5-year survival that we observed for each valve seems to be similar to the one observed by others 15,18 .…”

Section: Discussionsupporting

confidence: 91%

Substituição valvar isolada com próteses metálicas St. Jude Medical em posição aórtica ou mitral: seguimento de médio prazo

Rodrigues

Évora

Bassetto

et al. 2009

Arq. Bras. Cardiol.

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Section: Discussionsupporting

confidence: 91%

Substituição valvar isolada com próteses metálicas St. Jude Medical em posição aórtica ou mitral: seguimento de médio prazo

Rodrigues

Évora

Bassetto

et al. 2009

Arq. Bras. Cardiol.

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“…Actualmente, nuestros resultados para pacientes sometidos a RVM sólo o asociado a plastia tricús-pide y a RVM más otra operación, son similares a lo reportados por la Sociedad de Cirugía Torácica de Norteamérica y otros autores en pacientes de igual riesgo [28][29][30][31] . Así, la mortalidad operatoria para RVM fue 3,4%; para RVM más plastia tricúspide fue 4,9% y para RVM más otra operación fue 4,8%, sin diferencias significativas entre ellas.…”

Section: Discussionunclassified

“…Nosotros decidimos utilizar una prótesis mecánica en vez de biológica, dada la edad y la alta incidencia de fibrilación auricular de nuestra serie. La prótesis más usada para el reemplazo valvular mitral hoy es la St. Jude®, prótesis bi-valva de carbón pirrolítico, con la cual se han obtenido muy buenos resultados, pero que no está libre de complicaciones 2,17,30 . Nuestra experiencia muestra que las complicaciones derivadas de ésta prótesis fueron responsables de 19% de la mortalidad alejada de los pacientes.…”

Section: Discussionunclassified

“…Nuestra experiencia muestra que las complicaciones derivadas de ésta prótesis fueron responsables de 19% de la mortalidad alejada de los pacientes. No obstante, la supervivencia alejada de los tres grupos fue muy satisfactoria y coincide con lo encontrado por otros autores 17,30,37 . Concluimos que los factores de riesgo significativos en el resultado del reemplazo valvular mitral son dependientes de las características clínicas del paciente, no del tipo de intervención ni del sistema de salud de origen.…”

Section: Discussionunclassified

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Influencia del sistema de salud de procedencia y otros factores en el resultado del reemplazo valvular mitral

et al. 2013

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“…However, the postoperative complications after prosthetic valve implantation is not uncommon and clinically significant paravalvular leakage (PVL) occurs in 2 to 5% of the patients (1,2).…”

Section: Introductionmentioning

confidence: 99%

Severe mitral paravalvular leakage: echo-morphologic description of 47 patients from real-time three-dimensional transesophageal echocardiography perspective

Gürsoy

Astarcıoğlu²,

Gökdeniz³

et al. 2013

Anadolu Kardiyol Derg

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Objective: Paravalvular leaks (PVLs) commonly occur in mitral prostheses. Real-time 3-dimensional transesophageal echocardiography (RT-3D TEE) may provide invaluable information about complex 3D anatomy of mitral PVLs compared to two-dimensional (2D) TEE findings. We, herein, aimed to evaluate the detailed description of anatomical characteristics of severe mitral PVLs using RT-3D TEE. Methods: Patients with diagnosis of severe mitral PVLs were simultaneously examined with 2D transthoracic echocardiography (TTE), 2D TEE, and RT-3D TEE. 3D characteristics of PVLs (localization, number, size, shape, etc.) were recorded and compared to 2D findings. Results were also compared with surgical findings. Results: The study comprised 47 cases (3 bioprosthesis, 44 mechanical) with 61 severe mitral PVLs. The most common PVL localizations were anterolateral commissure, posteromedial commissures and posterolateral region. The mean PVL width measured by 2D TEE was 3.1±1.3 (range; 2-7) mm and the mean width of defect measured by 3D TEE was 3.1±1.1 (range; 2-7) mm (p=0.7). The mean length of defect measured by 3D TEE was 11.1±6.5 mm. The most common defect type was 'oval/round' shaped (n=29; 48%). There were also 19 'crescentic' (31%), 9 'slit like' (15%), and 2 tunnel-like shaped defects. In 22 patients, the site and dimension of the PVLs were all confirmed surgically. Conclusion: RT-3D TEE permits detailed structural evaluation of the prosthesis and description of paravalvular leak morphology compared to 2D TEE. It may provide more accurate information to the clinician in decision making and may contribute to the success of the potential corrective procedures. (Anadolu Kardiyol Derg 2013; 13: 633-40) Key words: Paravalvular mitral regurgitation, real-time three-dimensional transözofageal echocardiography Original Investigation Özgün Araşt›rma 633ÖZET Amaç: Paravalvüler kaçaklar (PVK) genellikle mitral protez kapaklarda görülür. Gerçek zamanlı üç-boyutlu transözofageal ekokardiyografi (GZ-3B TÖE) iki boyutlu transözofageal ekokardiyografi (2B TÖE) ile kıyaslandığında mitral protez kapağın kompleks 3B anatomisi hakkında paha biçilmez bilgiler sunar. Bu çalışmada GZ-3B TÖE'yi kullanarak ileri mitral PVK'ların detaylı anatomik özelliklerini incelemeyi hedefledik.Yöntemler: İleri PVK'sı olan hastalar eş zamanlı 2B transtorasik ekokardiyografi, 2B TÖE ve GZ-3B TÖE ile incelendi. PVK'ların 3B özellikleri (yerleşimi, boyutları, şekilleri, sayıları vs.) kaydedildi ve 2B görüntülerle kıyaslandı. Sonuçlar cerrahi bulgularla da kıyaslandı. Bulgular: Çalışma 47 mitral protez kapak hastasını (3 biyoprotez, 44 mekanik) ve toplam 61 PVK'yı kapsıyordu. En sık PVK yerleşimi anterolateral komissür, posteromediyal komissür ve posterolateral bölge idi. 2B TÖE ve 3B ile ölçülen ortalama defekt eni sırasıyla 3,1±1,3 (aralık; 2-7) mm ve 3,1±1,1 (aralık; 2-7) mm idi (p=0,7). 3B TÖE ile ölçülen defekt uzunluğu ise 11,1±6,5 mm idi. En sık defekt türü 'oval/yuvarlak' (n=29; %48) idi. Ayrıca 19 hilal şekilli (%31), 9 kesik şekilli (%15) ve 2 tünel...

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Mitral valve replacement with the St. Jude medical prosthesis: a 15-year follow-up

Cited by 31 publications

References 14 publications

Substituição valvar isolada com próteses metálicas St. Jude Medical em posição aórtica ou mitral: seguimento de médio prazo

Substituição valvar isolada com próteses metálicas St. Jude Medical em posição aórtica ou mitral: seguimento de médio prazo

Influencia del sistema de salud de procedencia y otros factores en el resultado del reemplazo valvular mitral

Severe mitral paravalvular leakage: echo-morphologic description of 47 patients from real-time three-dimensional transesophageal echocardiography perspective

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