Abstract:
:Thirty-four young patients (28 male and 6 female) underwent aortic valve replacement between 1972 and 1988. Ages ranged from 11 to 20 years (mean 17.7 years). Including reimplantation in the follow-up period, 40 valves were implanted, among which were 17 (43%) St. Jude, 7 (16%) Bjork-Shiley, and 4 (10%) Carpentier-Edwards. Seven patients (18%) had tissue valve prostheses (4 Carpentier-Edwards, 3 Hancock valves). There was one hospital death (2.9%). Follow-up was obtained in 30 of the 33 hospital survivors, with a mean follow-up of 80 months. In the follow-up period, one patient (3%) had a major thromboembolic event and one patient (3%) had prosthetic valve endocarditis. Six patients (18%) required replacement of the implanted valve; three of these had received Hancock tissue valve prostheses. There were three late deaths, yielding 96% survival at 5 years and 84% at 10 years. Twenty-three of 30 survivors are currently New York Heart Association class I. Aortic valve replacement in young patients can be performed with low mortality and morbidity, and with excellent long-term results.
journal_name
Cleve Clin J Medjournal_title
Cleveland Clinic journal of medicineauthors
Moodie DS,Hanhan U,Sterba R,Murphy DJ Jr,Rosenkranz ER,Kovacs AMdoi
10.3949/ccjm.59.5.473subject
Has Abstractpub_date
1992-09-01 00:00:00pages
473-8issue
5eissn
0891-1150issn
1939-2869journal_volume
59pub_type
杂志文章abstract::Anticonvulsant hypersensitivity syndrome, a potentially fatal but rare reaction, manifests as rash, fever, tender lymphadenopathy, hepatitis, and eosinophilia. To manage hypersensitivity syndrome successfully, one must recognize the symptoms early, stop the offending drug immediately, and substitute a safe, alternativ...
journal_title:Cleveland Clinic journal of medicine
pub_type: 杂志文章,评审
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abstract::Annular pancreas is a congenital anomaly which, though present at birth, may cause few symptoms until adulthood. A case of annular pancreas with intermittent duodenal obstruction is described in a 49-year-old alcoholic man. Few other entities cause such obstruction. In similar cases, clinical suspicion of annular panc...
journal_title:Cleveland Clinic journal of medicine
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更新日期:1992-03-01 00:00:00
abstract::Although there is still no consensus on how to diagnose hypertension, opinion is moving toward incorporating out-of-office blood pressure measurements into the process. The SPRINT trial poses potential opportunities and challenges. Simplified antihypertensive drug regimens incorporating single pill combinations are ve...
journal_title:Cleveland Clinic journal of medicine
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abstract::Morbidity and mortality rates of human immunodeficiency virus (HIV) have plummeted where highly active antiretroviral therapy (HAART) is available. However, therapy is out of reach for most people who need it in developing nations, where the infrastructure to deliver care and resources for medications is lacking. Worl...
journal_title:Cleveland Clinic journal of medicine
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journal_title:Cleveland Clinic journal of medicine
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journal_title:Cleveland Clinic journal of medicine
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abstract::To determine whether migraine exhibits a circadian rhythm or occurs randomly throughout the day, we analyzed the time of migraine onset in 15 migraine suffers (migraineurs) over 20 weeks. The patients suffered 211 migraine attacks over 20 weeks (range 3 to 30, median 13). Twelve of the 15 migraineurs had 50% or more o...
journal_title:Cleveland Clinic journal of medicine
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journal_title:Cleveland Clinic journal of medicine
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journal_title:Cleveland Clinic journal of medicine
pub_type: 杂志文章
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journal_title:Cleveland Clinic journal of medicine
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journal_title:Cleveland Clinic journal of medicine
pub_type: 杂志文章,评审
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abstract::Complications of chronic gastroesophageal reflux disease (GERD) run the gamut from erosive esophagitis to esophageal cancer, but all are linked to repeated exposure of the esophagus to caustic gastric and duodenal acid. Progression from one complication to another is not clearly established across the GERD continuum, ...
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journal_title:Cleveland Clinic journal of medicine
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更新日期:1990-03-01 00:00:00
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journal_title:Cleveland Clinic journal of medicine
pub_type: 临床试验,杂志文章
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更新日期:1990-10-01 00:00:00
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journal_title:Cleveland Clinic journal of medicine
pub_type: 杂志文章,评审
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更新日期:2009-04-01 00:00:00
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journal_title:Cleveland Clinic journal of medicine
pub_type: 杂志文章
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journal_title:Cleveland Clinic journal of medicine
pub_type: 杂志文章
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journal_title:Cleveland Clinic journal of medicine
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journal_title:Cleveland Clinic journal of medicine
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更新日期:1989-09-01 00:00:00
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journal_title:Cleveland Clinic journal of medicine
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更新日期:2001-10-01 00:00:00
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journal_title:Cleveland Clinic journal of medicine
pub_type: 杂志文章,评审
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