Thirty years experience with heart valve surgery: isolated aortic valve replacement

The Australian and New Zealand Journal of Surgery
J R BessellG J Maddern

Abstract

Thirty years have elapsed since the commencement of open-heart surgery in South Australia. A retrospective study was performed to evaluate mortality and complication rates and to identify factors associated with poor outcomes in all patients who underwent prosthetic aortic valve replacement during this period. Questionnaires and personal contact have been used to generate a combined database of pre-operative and post-operative information and long-term follow-up on 1322 patients who underwent isolated prosthetic aortic valve replacement at the Cardio-Thoracic Surgical Unit of the Royal Adelaide Hospital between 1963 and 1992. Complete survival follow-up data were obtained for 94% (1241) of the patients. The Bjork-Shiley valve was used in 66% (875) of the patients, a Starr-Edwards prosthesis in 31% (412), a St Jude prosthesis in 2% (26), and only 0.7% (9) bioprosthetic valves were inserted. The hospital mortality rate for the 30-year period was 2.9%. Progressively older and less fit patients have undergone surgery in recent years. The long-term survival of patients with aortic stenosis and aortic incompetence was not significantly different. Long-term survival was significantly shorter for patients with higher New York Heart Ass...Continue Reading

References

Jul 1, 1991·The Annals of Thoracic Surgery·C W Akins
Mar 1, 1990·Journal of the American College of Cardiology·D LindblomH Lundström
Jan 1, 1990·European Heart Journal·M AbdelnoorS Trettli
Jan 1, 1987·Journal of the American College of Cardiology·J A MagovernJ A Waldhausen

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Citations

Nov 25, 2003·Journal of Interventional Cardiology·Hélène EltchaninoffAlain Cribier
Feb 12, 2010·Case Reports in Medicine·Yusuf AtaA Ozyazicioğlu
Nov 26, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·O LundO K Albrechtsen
Feb 23, 2005·Expert Review of Cardiovascular Therapy·Ivan P Casserly, Samir R Kapadia
Jun 6, 2007·The Medical Journal of Australia·Anna McLeanClive Hadfield

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