Ten years' experience with the St. Jude Medical valve prosthesis

Arom, Kit V.; Nicoloff, Demétre M.; Kersten, Thomas E.; Northrup, William F.; Lindsay, William G.; Emery, Robert W.

doi:10.1016/0003-4975(89)90014-3

Cited by 137 publications

(38 citation statements)

References 10 publications

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“…The percentage of patients free of thromboembolic events was higher in the AVR cohort than in the MVR cohort, similarly to what was observed by others 18 . However, the linearized rate of thromboembolic complications in this series is comparable with other series of St Jude medical, as well as the incidence of anticoagulationrelated bleeding complications 15,[17][18][19] . The higher incidence of thromboembolic events in patients with mitral mechanical prosthesis is a well known fact 1 , in which atrial fibrillation certainly also has a important role.…”

Section: Discussionsupporting

confidence: 76%

Substituição valvar isolada com próteses metálicas St. Jude Medical em posição aórtica ou mitral: seguimento de médio prazo

Rodrigues

Évora

Bassetto

et al. 2009

Arq. Bras. Cardiol.

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Section: Discussionsupporting

confidence: 76%

Substituição valvar isolada com próteses metálicas St. Jude Medical em posição aórtica ou mitral: seguimento de médio prazo

Rodrigues

Évora

Bassetto

et al. 2009

Arq. Bras. Cardiol.

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“…We used SJM valves in all patients who underwent MVR. It is well known that the SJM valve is a reliable, durable valve prosthesis with excellent hemodynamic function and low incidence of thromboembolic events [8][9][10][11]. Our satisfactory results may be produced from that reason.…”

Section: Discussionmentioning

confidence: 71%

“…It is well known that postoperative LV function of MVP is superior to MVR. However, MVP depend on th Meanwhile, MVR also had good results over a 10 year period [8][9][10][11] according to the recent advancement of prosthetic valves. To avoid postoperative low cardiac output syndrome, Lillehei et al [12] began to replace diseased mitral valves while preserving the posterior leaflet, chordae and papillary muscles in 1962.…”

Section: Introductionmentioning

confidence: 99%

An Evaluation of Left Ventricular Function after Surgery for Pure Mitral Regurgitation Using Dobutamine-stress Echocardiography. Should the Mitral Complex Be Preserved?

Oda

1999

Kurume Med. J.

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Summary: To evaluate the importance of preserving the mitral complex, clinical outcomes and postoperative left ventricular (LV) functions of 175 patients with pure mitral regurgitation (MR) were analyzed. They were divided into three groups; patients who had conventional mitral valve replacement (cMVR; n=47), posterior mitral leaflet preserved MVR (pMVR; n=66) or mitral valvuloplasty (MVP; n=62). There was no operative death or hospital death in this study. The actuarial survival rate was 85.2% in cMVR, 78.5% in pMVR, and 84.7% in MVP at 10 years after operation. The actuarial freedom from reoperation 10 years postoperatively was 100% in cMVR, 97.9% in pMVR, 85.8% in MVP. The actuarial freedom from thromboembolism (TE) at 10 years was 92.2% in cMVR, 87.1% in pMVR, 93.5% in MVP. Freedom from all types of events including non-cardiac death was 78.3% in cMVR, 64.8% in pMVR, 65.3% in MVP at 10 years, respectively. Pre-and postoperative LV function was evaluated using echocardiography. Patients with MVP had better LV performance than those with MVR. However, there was no significant difference between the cMVR and pMVR groups. For further estimation of postoperative LV function, dobutaminestress echocardiography (DSE) was performed. The results of DSE revealed that the LV contractility in MVP was obviously better than those in MVR groups especially in systole. The change in ejection fraction (EF) from baseline to peak dobutamine stress in the pMVR group was significantly greater than in cMVR. This study supports the concept that the preservation of continuity between the mitral annulus and papillary muscle plays an important role in clinical outcome and postoperative LV function. In conclusion, MVP should be a first choice as an operative method for pure MR when technically feasible. When it is impossible to perform MVP, pMVR, not cMVR, should be the next choice. This study suggests that preservation of papillary muscle-mitral annular continuity during mitral valve surgery for pure MR is beneficial to LV systolic function.

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“…Key words Prothrombin-complex concentrate´Oral anticoagulationF resh frozen plasma´Liver dysfunction´Heart surgery Intensive Care Med (1999) 25: 1131±1133 Ó Springer-Verlag 1999 to be as high as 1.49 per 100 patient years [1]. For this reason, our patient had been anticoagulated with phenprocoumon.…”

Section: Discussionmentioning

confidence: 99%

Emergency correction of coagulation for mitral valve replacement in an orally anticoagulated 17-year-old patient with pronounced hepatic dysfunction

Rauch

Hofbeck

Ries

et al. 1999

Intensive Care Medicine

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A 17-year-old patient with Shone's disease had to be readmitted to the hospital 3 months after implantation of an artificial aortic valve because of extreme mitral insufficiency with consecutive pulmonary edema and hepatic dysfunction. He had been orally anticoagulated and presented with a high international normalized ratio of 6.7. Emergency replacement of the mitral valve was possible only after administration of prothrombin-complex concentrate, as vitamin K(1) and fresh frozen plasma did not correct the hemostatic defect sufficiently.

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Ten years' experience with the St. Jude Medical valve prosthesis

Cited by 137 publications

References 10 publications

Substituição valvar isolada com próteses metálicas St. Jude Medical em posição aórtica ou mitral: seguimento de médio prazo

Substituição valvar isolada com próteses metálicas St. Jude Medical em posição aórtica ou mitral: seguimento de médio prazo

An Evaluation of Left Ventricular Function after Surgery for Pure Mitral Regurgitation Using Dobutamine-stress Echocardiography. Should the Mitral Complex Be Preserved?

Emergency correction of coagulation for mitral valve replacement in an orally anticoagulated 17-year-old patient with pronounced hepatic dysfunction

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