Twelve-Year Comparison of a Bjork–Shiley Mechanical Heart Valve with Porcine Bioprostheses

Bloomfield, Peter; Wheatley, David J.; Prescott, R. J.; Miller, Hugh C.

doi:10.1056/nejm199102283240901

Cited by 352 publications

(148 citation statements)

References 19 publications

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“…The prevalence of complications during the follow-up period was low for both groups and similar to published results from different studies on aortic valve replacement [18,19].…”

Section: Commentssupporting

confidence: 75%

Resultado da substituição aórtica por ampliação anelar anterior e posterior é comparável a do anel normal

Sant'Anna¹,

Bacco²,

Sant’Anna³

et al. 2004

Rev Bras Cir Cardiovasc

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“…The prevalence of complications during the follow-up period was low for both groups and similar to published results from different studies on aortic valve replacement [18,19].…”

Section: Commentssupporting

confidence: 75%

Resultado da substituição aórtica por ampliação anelar anterior e posterior é comparável a do anel normal

Sant'Anna¹,

Bacco²,

Sant’Anna³

et al. 2004

Rev Bras Cir Cardiovasc

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“…3 Bioprosthetic (tissue) valves are felt to be less thrombogenic and usually do not require patients to continue chronic anticoagulation therapy; however, structural degeneration of these valves limits their durability. 3,4 Coronary artery embolism is an uncommon cause of acute myocardial infarction (AMI). 5 Several recent case reports cite prosthetic mechanical heart valves (in the aortic or mitral positions) in the setting of subtherapeutic anticoagulation as the cause of the coronary artery emboli and AMI.…”

Section: Discussionmentioning

confidence: 99%

Acute Myocardial Infarction due to Coronary Artery Embolism in a Patient with a Tissue Aortic Valve Replacement

Levis¹,

Schultz²,

Lee³

2011

TPJ

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“…L'étude Veterans Affairs Randomized Trial (VART) [7] met en évidence une meilleure survie en présence d'une PM en position aortique. Toutefois, notre étude corrobore les résultats de l'Edinburgh Heart Valve Study (EHVA) [6,8] 1 (0,07) anévrisme aorte ascendante 2 (0,12) n = nombre; p/a = patient/année; AVC = accident vasculaire cérébral; AF = amaurose fugace; AIT = accident ischémique transitoire; CTE = complication thrombo-embolique; PV = prothèse valvulaire; PB = prothèse biologique; PM = prothèse mécani-que; VG = ventricule gauche; ICT = insuffisance cardiaque terminale; IM = infarctus myocardique; HD = hémorragie digestive; AAA = anévrisme de l'aorte abdominale; FF = facteur favorisant; ACO = anticoagulation orale; FA = fibrillation auriculaire. Le nombre de cas par 100 patients/année est calculé par rapport au suivi globale de notre collectif soit 1526 patients/année.…”

Section: Mortalitéunclassified

Evolution à moyen terme et rôle de l'échocardiographie après remplacement valvulaire

Zaza¹,

Jaussi²,

Crittin³

et al. 2007

Schweiz Ärzteztg

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SummaryAims: The aim of the study was to evaluate the rate of occurrence of complications associated with prosthetic valves (PV) in ambulatory practice and to further evaluate the usefulness of echocardiography in the diagnosis and follow-up of these complications. Method: The study included 226 patients with a mean age of 57.7 ± 14.7 years in whom 253 PV (209 mechanical and 44 biological) were implanted. Immediate post-operative echocardiography was performed followed by annual echographic control studies. Results: Mean follow-up was 6.8 ± 3.8 years, corresponding to 1526 patient years. Complication-free patients numbered 72.7 ± 3.5% in the presence of mechanical prosthetic valves (MV) and 68.6 ± 8.1% in the presence of biological valves (BV) (p = 0.55). With respect to positions, complication-free patients numbered 68.3 ± 4.0%, 85.3 ± 4.8% and 51.9 ± 15% with PV in the aortic, mitral and mitro-aortic positions respectively (p = 0.54). The haemorrhagic and endocarditic risk was most important in the presence of a MV. All cases of PV degeneration occurred in patients with a BV in the mitral position. There was a tendency towards an increased incidence of paravalvalvular leaks and re-interventions in the presence of BV and a tendency towards an increased incidence of thrombo-embolic complications with PV in the aortic position. A PV linked complication was detected on average every 24.4 echocardiographs. Conclusion: The incidence of PV linked complications is low with a majority of patients free of any complications following valve replacement. The type and position of the PV only appears to influence the incidence of haemorrhages, degenerescence, re-intervention and endocarditis. The usefulness of routine echocardiographic follow-up therefore seems limited. An echocardiographic follow-up is, however, justified in certain settings, namely in the presence of para-valvular leaks, increased trans-valvular gradients, un- 237Travail original Kardiovaskuläre Medizin 2007;10: Nr 7-8 liées à la présence d'une PV est faible et la majorité des patients ne présente aucune complication suite au remplacement valvulaire. Le type et la localisation de la PV n'influence que l'incidence des hémorragies, des dégénéres-cences, des ré-interventions et des endocardites. L'apport d'un suivi échocardiographique de routine est faible. Un suivi échocardiogra-phique est cependant justifié en présence d'une fuite paravalvulaire, d'un gradient transvalvulaire élevé, d'une évolution clinique défavorable ou d'une PB âgée de plusieurs années.

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Twelve-Year Comparison of a Bjork–Shiley Mechanical Heart Valve with Porcine Bioprostheses

Cited by 352 publications

References 19 publications

Resultado da substituição aórtica por ampliação anelar anterior e posterior é comparável a do anel normal

Resultado da substituição aórtica por ampliação anelar anterior e posterior é comparável a do anel normal

Acute Myocardial Infarction due to Coronary Artery Embolism in a Patient with a Tissue Aortic Valve Replacement

Evolution à moyen terme et rôle de l'échocardiographie après remplacement valvulaire

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