Journal of Chest Surgery

  • 제26권1호
  • /
  • Pages.18-23
  • /
  • 1993
  • /
  • 2765-1606(pISSN)
  • /
  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

중복판막치환에서 이오네스큐 단고형 판막의 내구성

Durability ofthe low-profile Ionescu-Shiley valve in mitral and aortic position

  • 발행 : 1993.01.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Improved clinical performance was expected from the introduction of the low-profile model of the Ionescu-Shiley pericardial valve. The long-term clinical results were assessed on the consecutive 47 patients who underwent MVR + AVR with this valve between 1984 and 1988. Three patients died within 30 days of surgery[operative mortality, 6.4%], and 44 early survivors were followed up for a total of 203.8 patient-years [Mean + SD, 4.63 + 1.47 years]. One died during the follow-up with a linearized late mortality of 0.491%/patient~year[pt-yr]. None experienced thromboembolism. Bleeding and endocardiris were seen in each single patient with the incidences of complication of 0.491%/pt-yr respectively. The linearized rate of primary tissue failure [PTF] was 0.491%/pt-yr. The actuarial survival and rate of freedom from PTF were 97.6 _+ 2.4% and 92.6 +7.1% at 7 years of follow-up.These results are favorably comparable with the ones seen in the patients of MVR + AVR with the standard profile lonescu-Shiley valve in all respects except the higher mean age of the low-profile group. Although the clinical performance was compatible with other major reports, the durability of the valve remains to be proved with the prolonged follow-up.

키워드

참고문헌

  1. J Thorac Cardiovasc Surg v.96 Guidelines for reporting morbidity and mortality after cardiac valve operations. Edmunds,L.H.Jr.;Clark,R.E.;Cohn,L.H.;Miller,D.C.;Weisel,R.D.
  2. Ann Surg v.186 Valve replacement with the Starr-Edwards and Hancock prostheses:Comparative analysis of late morbidity and mortality. Oyer,P.E.;Stinson,E.B.;Griepp,P.B.;Shumway,N.E.
  3. J Cardiovasc Surg v.33 no.Suppl Recent trends and new directions in cardiac valve replacement. Lillehei,C.W.
  4. Caridiac Prostheses symposium Failure mode of the Ionescu-Shiley cardiac valve prosthesis. Walker,W.E.
  5. J Thorac Cardiovasc Surg v.87 Fatigue-induced failure of the Ionescu-Shiley perocardial xenograft in the mitral position: In vivo and in vitro correlation and a proposed classification. Gabbay,S.;Bortolotti,U.;Wasserman,F.;Factor,S.;Strom,J.;Frater,R.W.M.
  6. J Thorac Cardiovasc Surg v.90 incidence of pimary tissue valve failure with the Ionescu-Shiley pericadial valve: Preliminary results. Gallo,I.;Nistal,F.;Revuelta,J.M.;Garcia-Satue,E.;Artinano,E.;Euran,C.G.
  7. J Thorac Cardiovasc Surg v.93 Patterns of failure in Ionescu-Shiley bovine pericardial bioprosthetic valve. Walley,V.M.;keon,W.J.
  8. J Thorac Cardiovasc Surg v.94 Primary tissue failure in pericardial heart valves. Wheatley,D.J.;Fisher,J.;Reece,I.J.;Spyt,T.;Breeze,P.
  9. Ann Thorac Surg v.46 The Ionescu-Shiley pericardial valve: Results in 473 patients. Daenen,W.;Noyez,L.;Lesaffre,E.;Goffin,Y.;Sralpaert,G.
  10. J Thorac Cardiovasc Surg v.95 Do heart valve bioprostheses degenerate for metabolic or mechanical reasons? Gabbay,S.;Kadam,P.;Factor,S.;Cheung,T.K.
  11. J Thorac Cardiovasc Surg v.101 Long-term clincal results with the Inoescu-Shiley pericardial xenograft. Masters,R.G.;Pipe,A.L.;Bedard,J.P;Brais M.P.;Goldstein,W.G.;Koshal,A.;Keon,W.J.
  12. 대흉외지 v.25 異種組織瓣膜의 耐久性 金鐘煥
  13. 대흉외지 v.25 이오네스큐 短高型 쾌帽瓣의 耐久性 金鐘煥
  14. 대흉외지 v.25 이오네스큐 단고형 대동맥판의 내구성 김종환
  15. 대흉외지 v.24 쾌帽瓣과 大動脈瓣 重複置換患者 期臨床成績. 金鐘煥
  16. 대흉외지 v.21 異種組織瓣膜의 兩置換手術. 金鐘煥