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Seven-Year Experience and Follow-Up with St. Jude Medical® Prostheses

  • L. C. D’Alessandro
  • A. Pucci
  • P. Mamone
  • R. Cini

Abstract

At the Division of Cardiac Surgery of St. Camillo Hospital, 1411 patients were operated on for valve replacement with ST. JUDE MEDICAL® prostheses from November 1978 through June 30, 1986. Six hundred eighty patients had mitral valve replacement (MVR), 468 had aortic valve replacement (A VR), 5 had tricuspid valve replacement (TVR), 246 had MVR + AVR, 8 had MVR + TVR, 1 had AVR + TVR, 3 had MVR + AVR + TVR, and 1 had MVR + AVR as well as ascending aorta replacement with a ST. JUDE MEDICAL aortic valved graft. The total number of implanted prostheses was 1672. Associated procedures were: left atrium thrombectomy 98, tricuspid valve repair 92, coronary artery bypass grafting 52, subaortic membrane repair 19, and atrial septal defect closure 16. The operative mortality rate was 9.3% for MVR, 5.8% for AVR, 40% for TVR, 6.8% for MVR + AVR, 14% for MVR + TVR, 66.6% for MVR + AVR + TVR, and 0% for AVR + TVR. The 7-year actuarial survival rate was 78% for MVR, 86% for AVR, and 80% for MVR + AVR. At 7 years, the actuarial rate of freedom from thromboembolism was 82% for the complete series, and the actuarial rate of freedom from major events (prosthesis failure and prosthesis thrombosis) was 92%. Seven-year actuarial survival in patients with concomitant coronary artery bypass grafting was similar to that for patients without coronary artery disease. Clinical improvement was observed in 97% of patients.

Keywords

Valve Replacement Aortic Valve Replacement Mitral Valve Replacement Jude Medical Valve Thrombosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Kluwer Academic Publishers 1989

Authors and Affiliations

  • L. C. D’Alessandro
  • A. Pucci
  • P. Mamone
  • R. Cini

There are no affiliations available

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