PMID: 9647056Jul 1, 1998Paper

Risk of reoperative valve replacement for failed mitral and aortic bioprostheses

The Annals of Thoracic Surgery
C W AkinsJ C Madsen

Abstract

One factor influencing the choice of mechanical versus bioprosthetic valves is reoperation for bioprosthetic valve failure. To define its operative risk, we reviewed our results with valve reoperation for bioprosthetic valve failure. Records of 400 consecutive patients having reoperative mitral, aortic, or mitral and aortic bioprosthetic valve replacement from January 1985 to March 1997 were reviewed. Reoperations were for failed bioprosthetic mitral valves in 219 patients, failed aortic valves in 153 patients, and failed aortic and mitral valves in 28 patients. Including 26 operations (6%) for acute endocarditis, 153 operations (38%) were nonelective. One hundred nine patients (27%) had other valves repaired or replaced, and 72 (18%) had coronary bypass grafting. The incidence of death in the mitral, aortic, and double-valve groups was respectively, 15 (6.8%), 12 (7.8%), and 4 (14.3%); and the incidence of prolonged postoperative hospital stay (>14 days) was, respectively, 57 (26.0%), 41 (26.8%), and 8 (28.6%). Only 7 of 147 patients (4.8%) having elective, isolated, first-time valve reoperation died. Multivariable predictors (p < 0.05) of hospital death were age greater than 65 years, male sex, renal insufficiency, and nonele...Continue Reading

References

Jan 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·J M PiehlerJ G Chandler
Jul 1, 1993·The Annals of Thoracic Surgery·L H CohnJ J Collins
Dec 1, 1995·The Annals of Thoracic Surgery·C W Akins

❮ Previous
Next ❯

Citations

Feb 2, 2012·Interactive Cardiovascular and Thoracic Surgery·Hunaid A VohraSunil K Ohri
Mar 30, 2013·Interactive Cardiovascular and Thoracic Surgery·Giuseppe BruschiSilvio Klugmann
Apr 23, 2009·Cardiology in Review·Yaron ShapiraAlex Sagie
Jun 17, 2003·Heart·K M Taylor
May 13, 2004·The Heart Surgery Forum·Vincent A GaudianiYingXing Wu
Aug 23, 2005·The Heart Surgery Forum·Mehmet Erdem TokerCevat Yakut
Dec 15, 2010·Future Cardiology·Ali N Azadani, Elaine E Tseng
Jan 27, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Azeem LatibAntonio Colombo
Sep 18, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Darren MylotteNicolo Piazza
Aug 11, 2012·The Korean Journal of Thoracic and Cardiovascular Surgery·Dong Chan KimJae Bum Park
Jan 22, 2014·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Krys MilburnMartyn Thomas
Jun 30, 2004·The Annals of Thoracic Surgery·D Dean PotterThomas A Orszulak
Mar 10, 2006·Current Cardiology Reports·Joseph Huh, Faisal Bakaeen
Mar 11, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Aleksandra MiskovicAnton Moritz
Nov 5, 2011·The Annals of Thoracic Surgery·Giuseppe BruschiSilvio Klugmann
Oct 31, 2015·Journal of the American College of Cardiology·Jean-Michel ParadisJosep Rodés-Cabau
May 11, 2006·Journal of Cardiac Surgery·Ram SharonySteven B Colvin
Oct 24, 2013·Journal of Cardiac Surgery·Yacine ElhmidiRüdiger Lange
May 28, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Moritz SeiffertHendrik Treede
Mar 28, 2006·The Annals of Thoracic Surgery·Nicola LucianiGianfederico Possati
Jan 24, 2009·The Annals of Thoracic Surgery·Manjula MagantiTirone E David
Jan 26, 2006·The Journal of Thoracic and Cardiovascular Surgery·Piroze M DavierwalaTerrence M Yau
Sep 28, 2010·The Annals of Thoracic Surgery·Leora B BalsamAubrey C Galloway
Jan 28, 2010·The Annals of Thoracic Surgery·Kasra ShaikhrezaiGeorge Asimakopoulos
Nov 21, 2002·The Annals of Thoracic Surgery·Michael A BorgerTirone E David
Feb 20, 2007·The Annals of Thoracic Surgery·Gilbert H L TangMichael A Borger
Aug 22, 2014·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Hiroshi Furukawa, Kazuo Tanemoto
Oct 31, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Naoto FukunagaTadaaki Koyama
Dec 17, 2009·The Journal of Thoracic and Cardiovascular Surgery·Damien J LaParGorav Ailawadi
Oct 3, 2006·Journal of the American College of Cardiology·Rachid ZegdiJean-Noël Fabiani
Jul 3, 2007·Journal of the American College of Cardiology·Thomas WaltherFriedrich W Mohr
Nov 15, 2011·Journal of the American College of Cardiology·Ronen GurvitchJohn G Webb
Mar 24, 2012·JACC. Cardiovascular Interventions·Moritz SeiffertHendrik Treede
Dec 3, 2014·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Vijayakumar SubbanDarren L Walters
Apr 30, 1999·The Journal of Thoracic and Cardiovascular Surgery·D S PeterseimD D Glower
Jan 6, 2005·The Journal of Thoracic and Cardiovascular Surgery·D Dean PotterThomas A Orszulak
Nov 2, 2001·The Journal of Thoracic and Cardiovascular Surgery·J M JonesG W Cran

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved