Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Clinical Experience of Multiple Valve Replacement

다중판막 치환술의 임상 성적

  • Published : 1995.04.01
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Abstract

Records of 71 consecutive patients who had received multiple valve replacement were reviewed[34male,37female,mean age 40.5$\pm$11.2 <14-63> . The early death rate was 2.8%[2/71 . A completed follow-up rate of 95.7% was accomplished in these 69 patients who left hospital[mean 42.5 $\pm$29.5 patients-years . Five of these patients died. The late death rate was 7.2%. Four patients experienced anticoagulant-related hemorrhage[all were minor . One patient had a thromboembolic episode[permanent ,and 2 had late prosthetic valve endocarditis. There was no clinical evidence of hemolysis and structural failure of valves used. Of those patients who survived,NYHA functional class improved significantly[from 87.2% class III & IV before to 95.8% class I & II after . Linearized rates for thromboembolism and anticoagulant-related hemorrhage,and for prosthetic valve endocarditis were 0.67%/100 patient-years,2.95%/100 patient-years,1.34%/100 patient-years, respectively. The actuarial estimates of incidence free of all complications and valve-related deaths were 92.2%/patient-years.Despites the advanced heart disease involving two or more native valves, the patients who had multiple valve replacement had very good results, over a 9-year period.

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References

  1. J Thora Cariovasc Surg v.45 Combined aortic and mitral valve Cartwright,R.S.;Giacobine,J.W.;Ratan,R.S.
  2. Ann Thorac Surg v.57 Twelve years, experience with the St. Jude Medical valve prostehesis Kiyoharu,N.;Hitoshi,K.;Akimasa,H.;Masaya,K.
  3. Circulation v.35 Consevative management of tricuspid regurgitation in patients undergoing mitral valve replacement Braunwald,N.S.;Ross,J.Jr.;Morrow,A.G.
  4. J Thorac Cariovasc Surg v.58 Tricuspid insurfficiency in patients undergoing mitral valve replacement : conservative management, annuloplasty or replacement Pluth,J.R.;Ellis,F.H.Jr.
  5. 대흉외지 v.20 다중판막치환술에 대한 임상적 연구 조창훈;최세영;박창권;이광숙;유영선
  6. J Thorac Cariovasc Surg v.94 Simultaneous implantation of St. Jude Medical aortic and mitral prosthesis Frederick,A.;Larry,W.S.;Edmunds,L.H.Jr.
  7. Ann Thorac Surg v.23 Triple valve replacement : An analysis of eight years experience Larry,W.S.;Nicholas,T.(et al.)
  8. Circulation v.78 Clinical and hemodynamic results following triple valve replacement Rhodes,G.R.(et al.)
  9. J Thorac Cariovasc Surg v.84 Review of 387 isolated mitral valve replacement by the model 6120 Starr-Edward prosthesis Sala,A.;Jean Claude Schoevaerdts,J.C.
  10. 대흉외지 v.25 St. Jude Medical 기계판막의 단기 및 증기 성적 조범구;장병철;강면식;방정현;홍승록
  11. Ann Thorac Surg v.55 Thrombotic and bleeding complication of prosthetic cardiac valve Edmunds,L.H.
  12. Ann Thorac Surg v.55 Relation between choice of prosthesis and late outcome in double-valve replacement Paul,S.B.;Jr.Charles,S.R.;McIntosh,C.L.;Richard,E.C.
  13. Ann Thorac Surg v.45 Long-term results of mitral valve surgery in patients with severe pulmonary hypertension Camara,M.L.;Aris,A.;Padro,J.M.;Caralps,J.M.
  14. Circulation v.68 Central hemodynamic at rest and during exercise after mitral valve replacement with different prosthesis Horstkotte,D.;Haerten,K.;Seipel,L.
  15. Circulation v.66 no.Suppl 1 Systemic thromboembolism in mitral and aortic Starr-Edward prosthesis. A 10-19 year follow up Fuster,V.;Pumphery,C.W.;Goon,M.C.;Crhsebro,J.H.;Pluthg,J.R.
  16. J Thorac Cariovasc Surg v.98 Ten-year follow-up study of patients who had double valve replacement with the St. Jude Medical prosthesis Arom,K.V.;Thomas,M.L.;William,E.K.;Northrup,W.F.;Lindsay,W.C.;Emery,R.W.
  17. Ann Thorac Surg v.48 The ball valve experience over three descades Swanson,J.S.;Starr,A.
  18. Thromboembolism after cardiac valve replacement Marloffs cardiac valve replacement Cohn,L.H.
  19. Br Heart J v.42 7-year analysis of hemorrhage in patients of long term anticoagulant treatment Fotar,C.
  20. J Thorac Cariovasc Surg v.100 Ten-year experinece with the St. Jude Medical valve for primary valve replacement Czer,I.S.C.;Chaux,A.;Matloff,J.M.;Derobertis,M.A.;Sharon,R.N.;Nessim,A.;Khan,S.S.
  21. Circulation v.76 no.suppl Ⅲ Long term performance of the St. Jude Medical valve : low incidence of thromboembolism and hemorrhagic complications with modest doses of warfarin Kopf,G.S.;Nicoloff,D.M.;Kersten,T.E.
  22. Thrombosis in cardiovascular disorders. (1st ed.) Fuster,V.