SIX-YEAR EXPERIENCE WITH THE ST.JUDE MEDICAL PROSTHESIS : EARLY AND LATE RESULTS OF 540 VALVES IN 462 PATIENTS

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概要

• 論文の詳細を見る

• From July 1978 to June 1984, 540 St. Jude Medical valve prostheses were implanted in 462 adult patients. Overall operative mortality was 4.8% (22/462): 5.7% after aortic valve replacement (AVR) (8/140); 3.3% after mitral valve replacement (MVR) (8/244); and 7.7% after aortic and mitral valve replacement (DVR) (6/78). There were 16 late deaths among 440 operative survivors: six (38%) were valve related. The actuarial survival rate at six years was 94.5% in AVR and 93.5% in MVR. At five years it was 91.6% in DVR. The freedom from valve-related death at six years after AVR, MVR and at five years after DVR was 97.8%, 98.6% and 95.8%, respectively. The incidence of valve-related complications (expressed as %/patient-year (number of events)) was as follows: thrombo-embolism (AVR 0.7 (2), MVR 2.0(13), DVR 2.8 (5)), valve thrombosis (AVR 0.3 (1), MVR 0.2 (1), DVR 0 (0)), prosthetic valve endocarditis (AVR 0.3 (1), MVR or DVR 0 (0)). There were no cases of primary structural failure, serious anticoagulant-related hemorrhage or clinical event of hemolysis. The incidence of all valve-related complications in AVR, MVR and DVR was 1.3, 2.2 and 2.8%/pt-yr, respectively. The freedom from thrombo-embolism at six years after AVR and MVR and at five years after DVR were 91.4%, 92.4% and 88.7% respectively. Re-operation was performed in only one patient with MAR because of valve thrombosis (0.2%/pt-yr after MAR, overall 0.1%/pt-yr). These results indicate that St. Jude Medical prosthesis has provided a satisfactory performance with acceptable risks of late complications in patients who were properly anticoagulated during six-year follow-up period.

• 社団法人日本循環器学会の論文
• 1987-03-20

著者

• Hashimoto Akimasa

  Department Of Cardiovascular Surgery The Heart Institute Of Japan Tokyo Women's Medical College

• Hayashi Hisae

  The Department Of Cardiovascular Surgery And Cardiology The Heart Institute Of Japan Tokyo Women &ap

• Aosaki Masahiko

  Department od Cardiology, National Hospital Organization Yokohama Medical Center

• Aosaki M

  Department Od Cardiology National Hospital Organization Yokohama Medical Center

• Aosaki Masahiko

  The Department Of Cardiovascular Surgery And Cardiology The Heart Institute Of Japan Tokyo Women &ap

• Endo Masahiro

  The Department Of Cardiovascular Surgery The Heart Institute Of Japan Tokyo Women's Medical Uni

• KOYANAGI Hitoshi

  the Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical Univer

• NAKANO KIYOHARU

  The Department of Cardiovascular Surgery and Cardiology, The Heart Institute of Japan, Tokyo Women '

• IMAMURA EISABURO

  The Department of Cardiovascular Surgery and Cardiology, The Heart Institute of Japan, Tokyo Women '

• HASHIMOTO AKIMASA

  The Department of Cardiovascular Surgery and Cardiology, The Heart Institute of Japan, Tokyo Women '

• Koyanagi Hitoshi

  The Department Of Cardiovascular Surgery The Heart Institute Of Japan Tokyo Women's Medical Col

• Hayashi Hisae

  Heart Institute Of Japan Tokyo Women's Medical College

• Nakano Kiyoharu

  The Department Of Cardiovascular Surgery And Cardiology The Heart Institute Of Japan Tokyo Women &ap

• Nakano Kiyoharu

  The Department Of Cardiovascular Surgery The Heart Institute Of Japan Tokyo Women's Medical Col

• Hayashi Hisae

  Heart Institute Of Japan

• Imamura Eisaburo

  The Department Of Cardiovascular Surgery And Cardiology The Heart Institute Of Japan Tokyo Women &ap

• Hayashi Hisae

  Japan Heart Institute Tokyo Women's Med. Coll.

• Hashimoto Akimasa

  Department Of Cardiac Surgery The Heart Insitute Of Japan Tokyo Women's College

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