Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Replacement of the Prosthetic Heart Valves -Clinical analysis of 12 cases-

인공심장판막의 재치환술

  • 김덕실 (경북대학교병원 흉부외과학교실) ;
  • 전상훈 (경북대학교병원 흉부외과학교실)
  • Published : 1996.02.01
Download PDF
⟨ Previous Next ⟩

Abstract

From January 1986 to June 1993, 12 patients Aad required reoperation: 9 had undergone mitral and 3 aortic valve replacement. Five were male and 7 female, and ages ranged from 29 to 61 years. Replacement of the prosthetic heart valve was performed at a mean interval of 98 $\pm$ 1 months after the Hrst operation. In aortic valve replacement patients the mean interval was 115 $\pm$ 2 months and in mitral valve replacement patients 98 $\pm$ 4 months. Primary tissue failure was the most frequent reason of replacement (10 patients) followed by valve thrombosis (1 patient) and prophylactic replacement (1 patient) in order. The most pronounced pathology of the failed prosthetic heart valves seen in the primary tissue failure group was calcification, perforation, shrinkage and tearing of the cusps. There was one early operative death (8.3%) due to intractable low cardiac output and acute renal failure. Eleven early survivors had successful operative results and there was no late death.

Keywords

References

  1. The surgical correction of aortic regurgitation : Preliminary report v.6 Hufnagel,C.A.;Harvey,W.P.
  2. J Thorac Cardiovasc Surg v.88 Early and late prognosis after reoperation for prosthetic valve replacement Bosch,X.;Pomar,J.L.;Pelletier,L.C.
  3. J Thorac Cardiovasc surg v.88 Performance characteristics of the Starr-Edwards Model 1260 aortic valve prothesis beyond ten years Miller,D.C.;Oyer,P.E.;Mitchell,R.S.(et al.)
  4. Ann Thorac Surg v.34 Porcine cardiac xenograft valves, analysis of survival, valve failure, and explantation Craver,J.M.;Jones,E.L.;Mickeown,P.(et al.)
  5. J Thorac Cardiovasc Surg v.83 Accelerated calcific degeneration of bovine pericardial valve in an adolescent : Letters to the editor Shimon,D.;Merin,G.;Simecha,A.;Pittaluga,S.;Borman,J.B.
  6. J Thorac Cardiovasc Surg v.87 Microscopic study of the normal pericardium and unimplanted Puig-Zerbini pericardial valvular heterografts Allen,D.J.;DiDio,L.J.A.;Zacharias,A.(et al.)
  7. J Thorac Cardiovasc Surg v.85 Late results after mitral valve replacement with the Bjork-Shiley and porcine prostheses Marshall,W.G.;Kiouchoukos,N.T.;Karp,R.B.;Williams,J.B.
  8. J Thorac Cardiovasc Surg v.80 Clinical durability of the Hancock porcine bioprosthetic valve Oyer,P.E.;Miller,D.C.;Stinson,E.B.;Reitz,B.A.;Moreno,R.J.;Shumway,N.E.
  9. Ann Thorac Surg v.30 Spontaneous degeneration of porcine bioprosthetic valves Magilligan,D.F.;Lewis,J.W.;Jara,F.M.(et al.)
  10. Ann Thorac Surg v.36 Failure of Hancock xenograft valve : Importance of valve position Bolooki,H.;Mallonm,S.;Palatianos,G.M.(et al.)
  11. Cardiology Clinics v.3 Ionescu-Shiley bovine pericardial bioprostheses Ott,D.A.;Cooley,D.A.;Reul,C.J.;Duncan,J.M.;Frazier,O.H.;Livesay,J.J.
  12. Cardiology Clinics v.3 Perspectives on the porcine xenograft valve Mitchell,R.S.;Miller,D.D.;Stinson,E.B.(et al.)
  13. J Thorac Cardiovasc Surg v.90 Results of reoperation for primary tissue of porcine bioprosthesis Bortolotti,U.;Milano,A.;Mazzucco,A.(et al.)
  14. Ann Thorac Surg v.34 Clinical and hemodynamic results with the Carepentier-Edwards porcine bioprosthesis Pelletier,D.;Chaitman,B.R.;Baillot,R.;Guiteras,V.P.;Bonan,R.;Dyrda,L.
  15. Syllabus of the American College of Surgeon's Postgraduate Course in Cardiac Surgery Late results with bioprosthetic valves Miller,D.C.
  16. Am J Cardiol v.46 Structural changes in glutaraldhydetreated porcine heterografts used as substitute cardiac valves : transmission and scanning electron microscopic observations in 12 patients Ferrans,V.J.;Spray,T.L.;Billingham,M.E.;Roberts,W.C.
  17. J Thorac Cardiovasc Surg v.83 Continuing improvement in valvular bioprosthesis Carpentier,A.;Dubost,C.;Lane,E.(et al.)
  18. Circulation v.58 no.SUP. Mitral valve, the third time around Magilligan,D.J.;Lam,C.R.;Lewis,J.W.;Davils,J.C.