Clinical Experience with the Lillehei-Kaster Valve Prosthesis
| Autor: | Frank Wenzke, Farouk Tabrah, George L. Hicks, Tajuddin Ahmed, Richard A. DeWall, Benjamin Schuster, Hans H.J. Zwart, Milton F. Nathan |
|---|---|
| Rok vydání: | 1979 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Aortic valve medicine.medical_specialty Adolescent medicine.medical_treatment Aortic Valve Insufficiency Hospital mortality Actuarial survival Postoperative Complications Valve replacement Thromboembolism Humans Mitral Valve Stenosis Medicine Child Aged Ohio business.industry Incidence (epidemiology) Valve prosthesis Mitral valve replacement Mitral Valve Insufficiency Aortic Valve Stenosis Middle Aged Coronary revascularization Surgery medicine.anatomical_structure Aortic Valve Heart Valve Prosthesis Mitral Valve Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The Annals of Thoracic Surgery. 28:158-165 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/s0003-4975(10)63774-5 |
| Popis: | The Lillehei-Kaster valve was used in 215 patients over a 7-year period. The aortic valve was replaced in 81 of them. Hospital mortality was 21% (17 patients). Ten patients were lost to follow-up and long-term mortality was 5% (3 patients). The incidence of thromboembolism was 2.6 per 100 patient-years, and actuarial survival was 96% at 5 and 87% at 7 years. Mitral valve replacement was performed in 108 patients. Hospital mortality was 20% (22 patients), 24 patients were lost to follow-up, and long-term mortality was 13% (11 patients). The combined incidence of thromboembolism was 5.0 per 100 patient-years, and actuarial survival was 81% at 5 years and 75% at 7 years. In both groups, the majority of patients improved clinically. Fifteen patients had double-valve replacement, and 11 had coronary revascularization in addition to valve replacement. |
| Databáze: | OpenAIRE |
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