Evaluation of long-term results of homograft and heterograft valves in extracardiac conduits
| Autor: | James F.N. Taylor, P. Horvath, James R. Malm, John S. Douglas, Jaroslav Stark, Catherine Bull, Walter H. Merrill, Marc R. de Levai, Fergus J. Macartney, Rui M. Almeida |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic valve medicine.medical_specialty Heart disease business.industry medicine.medical_treatment Long term results medicine.disease Prosthesis Surgery surgical procedures operative medicine.anatomical_structure Electrical conduit Internal medicine medicine.artery Pulmonary artery cardiovascular system medicine Cardiology cardiovascular diseases Cardiology and Cardiovascular Medicine business Complication Actuarial Analysis |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 94:12-19 |
| ISSN: | 0022-5223 |
| Popis: | Between 1971 and 1982, 249 patients received right heart extracardiac conduits. The 173 patients who survived 30 days were reviewed retrospectively; 72 had antibiotic-sterilized aortic homografts, 97 had xenografts of various types, and four had valveless tubes. Reoperation for conduit obstruction was required as early as 13 months after the original operation, but actuarial analysis showed no differences in overall performance of homograft and heterograft conduit groups with respect to late death or survival free of conduit obstruction. More important risk factors for late death or the need for reoperation were the severity of the underlying cardiac lesions and the influence of early postoperative complications. When analyzed statistically, the performance of conduits bearing homografts was disappointing, influenced sometimes by complications in the Dacron extension tubes. Repairs dispensing with conduits entirely should be evaluated. |
| Databáze: | OpenAIRE |
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