Thirteen Year-Experience with Mitral Valve Replacement

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概要

• 論文の詳細を見る

• At the Niigata University Hospital, various kinds of prosthetic valves such as the Starr-Edwards noncloth- and cloth-covered, Bjork-Shiley tilting disc, and Carpentier-Edwards porcine valves, have been used from September, 1965 to March, 1979 for replacement of diseased valves on 176 patients.The patients with Starr-Edwards noncloth- and cloth-covered ball valves showed survival rates of 90 and 84% over a period of 5 years, and 87 and 81% for 8 years. Those with Carpentier-Edwards porcine and Bjork-Shiley tilting disc valves exhibited a survival rate of 93% for 1 and 3 years respectively.Since 1973, regarding postoperative thromboembolic complications, patients who could not be maintained within a suitable therapeutic range using Warfarin, were given Bucolome also. For the patients with the Starr-Edwards cloth-covered valve, the 6-year major thromboembolism-free rate was 92% in those operated before 1973 and 96% for those operated since 1973. The minor episodes were free in 85 and 100%, respectively.The actuarial reoperation rate at 7 years was 7% for the patients with Starr-Edwards noncloth-covered and 1% for those with cloth-covered valves. However, there was only one death among 7 patients. No reoperation was carried out for the other valves.In conclusion, the actuarial survival curve for the Starr-Edwards ball valves showed a good survival rate when the patients age at the operation was taken into account. The use of the Bjork-Shiley tilting disc and Carpentier-Edwards porcine valves is also justified within the constraint of the short follow-up period.

• International Heart Journal刊行会の論文

著者

• MATSUKAWA TETSUNOSUKE

  Department of Cardiovascular Surgery, Niigata University School of Medicine

• Eguchi Shoji

  Department Of Cardiovascular Surgery Niigata Kobari Hospital

• Ohtani Shinichi

  Department Of Clinical Laboratory Kitasato University School Of Medicine

• Sakashita Isao

  Department Of Surgery Niigata University

• Sakashita Isao

  The First Department Of Medicine Anatomy And Thoracic And Vascular Surgery Niigata University School

• Ando Takeshi

  Department Of Gastroenterology Funabashi Municipal Medical Center

• EGUCHI Shoji

  Department of Thoracic and Cardiovascular Surgery, University of Niigata School of Medicine

• Eguchi Shoji

  Department of Applied Chemistry Faculty of Engineering Nagoya University

• OHTANI Shinichi

  Department of Thoracic and Cardiovascular Surgery, University of Niigata School of Medicine

• SAKASHITA Isao

  Department of Surgery , Niigata University

• MATSUKAWA Tetsunosuke

  Department of Thoracic and Cardiovascular Surgery, University of Niigata School of Medicine

• ANDO Takeshi

  Department of Anesthesiology, Tokyo Metropolitan Ohtsuka Hospital

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