Survival and bioprosthetic valve failure. Ten-year follow-up.

Abstract:

:Between 1976 and 1982, 413 consecutive patients underwent valvular replacement with a bioprosthesis. Aortic valve replacement was performed in 240 patients, mitral valve replacement in 132, and multiple-valve replacement in 41. Four prostheses were employed: Carpentier-Edwards porcine (n = 336), Angel-Shiley porcine (n = 23), Hancock porcine (n = 11), and Ionescu-Shiley pericardial (n = 43). Follow-up was conducted between 5 and 12 years postoperatively and was 98% complete. Survival was 65 +/- 4% at 10 years and was independently influenced by advancing age, poor ventricular function, male sex, concomitant coronary artery bypass surgery, and valvular type. The risk of structural valvular dysfunction, reoperation, and any valve-related mortality and morbidity was significantly increased with the Ionescu-Shiley pericardial prosthesis. Long-term survival after valvular replacement was influenced by patient- and valve-related factors. The Ionescu-Shiley pericardial valve had an unusually high incidence of premature failure.

journal_name

Circulation

journal_title

Circulation

authors

Teoh KH,Ivanov J,Weisel RD,Darcel IC,Rakowski H

subject

Has Abstract

pub_date

1989-09-01 00:00:00

pages

I8-15

issue

3 Pt 1

eissn

0009-7322

issn

1524-4539

journal_volume

80

pub_type

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