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Clinical features of third open-heart valve surgery at the same valve position

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Abstract

Objective: Recently, there has been an increase in case of repeated open-heart valve surgery and the clinical results of the second surgery are only slightly worse than those of the first surgery. However, clinical results of the third open-heart valve surgery at the same position are rarely reported. Clinical features of third open-heart valve surgery at the same position are discussed in this study.Methods: Between 1995 and 2004, 16 patients underwent third open-heart valve surgery at the same valve position under cardiopulmonary bypass. The average age of the 16 patients, 12 females and 4 males, was 56±15 years. Clinical features of the 16 cases were retrospectively analyzed.Results: Mechanical valve nonstructural dysfunction was the most common valve malady, followed by bioprosthetic valve dysfunction. The duration of surgery from skin incision to establishment of the cardiopulmonary bypass was 94±42 minutes. Myocardial ischemia time was 137±38 minutes and extracorporeal circulation time was 212±82 minutes. Early mortality was seen in 1 patient (6.25%) and late mortality was seen in 1 patient.Conclusion: Mechanical valve nonstructural valve dysfunction leads to repeated valve surgery. The clinical results of the third open-heart valve surgery at the same valve position are acceptable, and the mid-term survival is excellent.

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Authors and Affiliations

  1. Division of Cardiovascular Surgery, Jichi Medical School, 3311-1 Yakushiji, Minami-kawachi, 329-0498, Tochigi, Japan

    Shin-ichi Ohki MD, Yoshio Misawa MD, Tsutomu Saito MD, Hiroaki Konishi MD, Yuichiro Kaminishi MD, Yasuhito Sakano MD, Kei Aizawa MD, Hideki Takahashi MD, Masanobu Taguchi MD & Takako Shinohara MD

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  1. Shin-ichi Ohki MD
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  2. Yoshio Misawa MD
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  3. Tsutomu Saito MD
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  4. Hiroaki Konishi MD
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  5. Yuichiro Kaminishi MD
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  6. Yasuhito Sakano MD
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  7. Kei Aizawa MD
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  8. Hideki Takahashi MD
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  9. Masanobu Taguchi MD
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  10. Takako Shinohara MD
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Ohki, Si., Misawa, Y., Saito, T. et al. Clinical features of third open-heart valve surgery at the same valve position. Jpn J Thorac Caridovasc Surg 53, 627–631 (2005). https://doi.org/10.1007/BF02665072

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  • DOI: https://doi.org/10.1007/BF02665072

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