+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Late-term results of mitral valve replacement with St. Jude Medical mechanical valve prosthesis: Samsun experience



Late-term results of mitral valve replacement with St. Jude Medical mechanical valve prosthesis: Samsun experience



Acta Cardiologica 61(5): 537-544



Background and aim of the study-We have reported the short- and long-term results of mitral valve replacement in this article.Methods-Mitral valve replacement was conducted in 276 patients in our clinic between January 1989 and March 2005. The youngest patient was 4 years old and the oldest patient was 74 years old. Mean age was 40.08 +/- 1.06 y. Of these patients, 41.3% were men and 58.7% were women. The reason for operation was mitral stenosis in 96 patients (34.78%), mitral insufficiency in 78 patients (29.26%) and mitral stenosis plus mitral insufficiency in 102 patients (36.96%). The aetiology of mitral valve lesions was acute rheumatic fever in 208 patients (75.36%). The aetiology of mitral valve lesions was degenerative in 37 patients (13.41%), ischaemic in 23 patients (8.33%) and congenital in 8 patients (2.9%).Results-In the 5, 10 and 15-year periods, the actual survival rates were 87.64% +/- 2.02%, 83.35% +/- 2.38% and 68.19% +/- 5.63%, respectively. Thromboembolism was observed in 38 patients (13.77%). The rates of actual freedom from thromboembolism in the 5, 10 and 15-year periods were 93.08% +/- 1.53%,88.48% +/- 1.99% and 81.06% +/- 3.43%, respectively. Of the 276 patients who had been observed for 15 years, 5 had (1.81%) valvular thrombosis. The rates of actual freedom from valvular thrombosis in the 5, 10 and 15-year periods were 98.89% +/- 0.64%, 98.04% +/- 0.87% and 98.04% 0.87%, respectively. In the 15-year period, 23 patients (8.33%) had haemorrhage due to anti-coagulation. The rates of actual freedom from haemorrhage due to anti-coagulation in the 5, 10 and 15-year periods were 95.64% 1.23%, 93.40% +/- 1.56% and 87.73% +/- 2.96%, respectively. Seven patients (2.54%) had prosthetic valvular endocarditis. The rates of actual freedom from endocarditis in the 5, 10 and 15-year periods were 98.51% +/- 0.74%, 97.60% +/- 0.97% and 97.01% +/- 1.13%, respectively. Nine patients (3.27%) were re-operated. The rates of actual freedom from re-operation in the 5, 10 and 15-year periods were 97.45% +/- 0.95%, 96.58% +/- 1.12% and 96.58% 1.12%, respectively.Conclusions-St.Jude Medical((R)) mechanical valve prosthesis has been the valve of choice in our clinic owing to its excellent haemodynamic properties and low rates of complication.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 049455500

Download citation: RISBibTeXText

PMID: 17117754


Related references

Predictive value of prosthetic valve area index for early and late clinical results after valve replacement with the St Jude Medical valve prosthesis. Circulation 94(9 Suppl): Ii109-Ii112, 1996

Predictive value of prosthetic valve area index for early and late clinical results after valve replacement with the St Jude Medical valve prosthesis. Circulation 92(8 Suppl. ): I706, 1995

Ten years experience with the St. Jude Medical valve prosthesis for mitral valve replacement. Nihon Kyobu Geka Gakkai 39(8): 1126-1131, 1991

Heart valve replacement with the st jude medical valve prosthesis long term experience in 743 patients receiving valve implants in switzerland. Gomez-Duran, C And G J Reul, Jr Indications For Heart Valve Replacement By Age Group; Fifth International Symposium on Heart Valves, Fort Lauderdale, Florida, Usa, April 1-4, 1987 Xviii+334p Kluwer Academic Publishers: Dordrecht, Netherlands; Boston, Massachusetts, Usa Illus 323-324, 1989

Early and long term results after mitral valve replacement with the St Jude medical prosthesis. Japanese Journal of Artificial Organs 23(1): 164-166, 1994

Preliminary results in mitral valve replacement with St. Jude medical prosthesis: comparison with the Björk-Shiley valve. Circulation 64(2 Pt 2): Ii203, 1981

Preliminary results in mitral valve replacement with the st jude medical prosthesis comparison with the bjork shiley valve. American Heart Association Monograph (80): II-203-II-209, 1981

Aortic valve replacement with a small mechanical valve prosthesis--a clinical and echocardiographic study of a St Jude Medical valve prosthesis. Japanese Circulation Journal 62(4): 244-248, 1998

Isolated mitral valve replacement with St Jude Medical prosthesis: Long-term results: A follow-up of 19 years. Circulation 103(11): 1542-1545, 2001

Isolated Mitral Valve Replacement With St Jude Medical Prosthesis : Long-Term Results: A Follow-Up of 19 Years. Circulation 103(11): 1542-1545, 2001

Heart valve replacement with St. Jude Medical valve prosthesis. Long-term experience in 743 patients in Switzerland. Circulation 78(3 Pt 2): I18-I24, 1988

Excellent long term results of cardiac valve replacement with the St Jude Medical valve prosthesis. Circulation 86(4 Suppl. 1): I699, 1992

Excellent long-term results of cardiac valve replacement with the St Jude Medical valve prosthesis. Circulation 88(5 Pt 2): Ii49-Ii54, 1993

Chronic hemolysis after a mechanical valve replacement in a comparative study between the St. Jude Medical valve and the omniscience valve prosthesis. Nihon Kyobu Geka Gakkai 35(2): 161-168, 1987

Chronic hemolysis after mechanical valve replacement comparative study between st. jude medical valve and omniscience valve prosthesis. Journal of the Japanese Association for Thoracic Surgery 35(2): 161-168, 1987