Increased risk for double valve replacement with tissue and mechanical prostheses.

Autor: Misawa, Yoshio, Fuse, Katuo, Saito, Tsutomu, Konishi, Hiroaki, Oki, Shin-ichi
Zdroj: Journal of Artificial Organs; Dec2001, Vol. 4 Issue 4, p298-302, 5p
Abstrakt: We wanted to determine whether there is any advantage of using a mitral tissue valve, when aortic and mitral valves are simultaneously replaced. We placed a tissue valve in the mitral position and a mechanical valve in the aortic position in 22 cases (combined group). In 31 other double valve replacements, mechanical prostheses were chosen for both positions (mechanical group). The mean follow-up time for the combined group was 8.9 years, and that for the mechanical group was 7.2 years. The 10-year survival rate and freedom from thromboembolism at 10 years were not different in the two groups. Treatment-related hemorrhage was seen in 3 patients of the combined group alone. Five patients among the combined group underwent reoperation because of bioprosthetic dysfunction, and the rate of freedom from reoperation at 10 years was 75 ±12%. The rate of freedom from all complications at 10 years was 43±11% for the combined group and 70±8% for the mechanical group. We find no advantage in mixing aortic mechanical and mitral tissue valves when performing double valve replacement. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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