Journal of Chest Surgery

  • 제27권12호
  • /
  • Pages.995-1001
  • /
  • 1994
  • /
  • 2765-1606(pISSN)
  • /
  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

CarboMedies 기계판막의 임상적 연구

Clinical Experience of Carbomedics Valve

  • 발행 : 1994.12.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The CarboMedics valve prosthesis is a relatively new. low profile bileaflet prosthesis. During a 6 year period from Aug. 1988 to July 1994. 158 patients had CarboMedics prostheses implanted in the mitral [n=94], aortic [n=25], or aortic and mitral [n=39] in National Medical Center. Hospital mortality was 9.4% and the main cause of death was low output syndrome. Follow up was 96% complete, with 365.4 patient-years and a mean follow up of 30 months [ range 1 to 72 months ] . The overall actuarial 6 year survival rate was 91.61 3.47% and actuarial 6year freedom from all valve related complications was 73.9 7.67%. The linearized incidence of vavle related complications was as follows: thromboembolism 1.37%/patient-year ; valve thrombosis 0.82%/ patient-year ; anticoagulant related hemorrhage 0.85%/patient-year ; perivalvular leakage 0.55%/paitent-year: prosthetic valve endocarditis 0.82%/patient-year ; reoperation 1.37%/patient-year. There were no instances of structural failure. We conclude that the Carbomedics valve has a low rate of complications that further improves the quality of life in patients with heart valve prostheses.

키워드

참고문헌

  1. J. Thorac. Cardiovasc. Surg. v.93 Biological versus Mechanical valves: Analysis of 1116 valves inserted in 1012 adult patients with 4818 patient-year and a 5327 valve-year for follow up Hammond,G.L.;Geha,A.S.;Klopf,G.S.;Hashin,S.W.
  2. J. Cardiovasc. Surg. v.31 Clinical and functional evaluation of the Carbomedics Prosthetic Heart Valve in the mitral position Subotic,S.;Petrovin,P.;Boskovic,D.(et al.)
  3. J. Thorac. Cardiovasc. Surg. Guidelines for reporting morbidity and mortality after cardiac valvular operations Edmunds,L.H.Jr.;Clark,R.E.;Cohn,L.H.;Miller,D.C.;Weisel,R.D.
  4. Eur. J. Cardio-thorac. Surg. v.6 CarboMedics and St-Jude Medical bileafelet valves: An in Vitro and in vivo comparison Johnston,R.T.;Weerasena,N.A.;Butterfield,M.;Fisher,J.;Spypt,T.J.
  5. Ann. Thorac. Surg. v.52 Comparative study of the Hydrodynamic Function of the CarboMdics valve Buterfield,M.;Fisher,J.;Davies,G.A.;Spypt,T.J.
  6. Br. Heart J. v.67 Closing sounds and related complaints after heart valve replacement with St-Jude Medical, Duromedics Edwards, Bjork-Shiley Monostrut, and Carbomedics prosthese Moritz,A.;Steinseifer,U.;Kobinia,G.(et al.)
  7. JACC v.21 Echocardiographic Description of the Carbomedics Bileaflet Prosthetic Heart Valve Chambers,J.;Cross,J.;Deverall,P.;Sowton,E.
  8. J Thorac Cardiovasc Surg v.106 Midterm Follow up after heart valve replacement with Carbomedics bileaflet prostheses de Luca,L.;Vitale,N.;Giannolo,B.;Cafarella,G.;Piazza,L.;Cotrufo,M.
  9. 대흉외지 v.26 Carbomedics 기계판막의 임상경험 김기출;채헌;안혁;김용진;김종환;노준량
  10. 대흉외지 v.25 Carbomedics 기계판막의 단기 임상성적 우석정;장봉현;이종태;김규태
  11. Morbidity and Mortality after Heart valve replacement(THESIS) Lindblom,D.
  12. J. Thorac. Cardiovasc. Surg. v.94 Three-year clinical results with the Monostrut Bjork-Shiley prosthesis Lindblom,D.;Limdblom,U.;Henze,A.;Bjork,V.O.;Semb,H.K.H.
  13. J. Thorac. Cardiovasc. Surg. v.100 Ten-Year experience with the St-Jude Medical valve for primary valve replacement Czer,L.S.C.;Chaux,A.;Matloff,J.M.(et al.)
  14. Ann. Thorac. Surg. v.47 Ten years' Experience with the St-Jude Medical valve prosthesis Arom,K.V.;Nicoloff,D.M.;Kersten,T.E.;Northrup,W.F.;Lindsay,W.G.;Emery,R.W.
  15. Ann. Thorac. Surg. v.50 Eight years' Experience with the Medtronic-Hall valve prosthesis Vallejo,J.L.;Gonzalez-Santos,J.M.;Albertos,J.(et al.)
  16. JACC v.17 Obstruction of Mechanical Heart Valve prostheses; Clinical aspects and Surgical management Deviri,E.;Sareli,P.;Wisenbaugh,J.;Cronje,S.L.
  17. Chest v.95 Optimal therapeutic range for oral anticoagulants Hirsh,J.;Poller,L.;Deykin,D.;Levine,M.;Dalen,J.E.
  18. Am. J. Clin. Pathol. v.99 Prothrombin time reporting and the International Normalized Ratio System Swain,W.R.
  19. J. Heart Valve disease v.2 Guidlines for prevention of thrombotic events in valvular heart disease Gohlke-Barwork,C.;Acar,J.;Burckhardt,D.(et al.)
  20. J. Thorac. Cardiovasc. Surg. v.97 Leaflet fracture in Duromedics-Edwards bileaflet valves Klepetko,W.;Moritz,A.