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Aortic Valve Replacement With a Ball-Valve Prosthesis: Detailed Analysis of Early and Late Results

Aortic Valve Replacement With a Ball-Valve Prosthesis: Detailed Analysis of Early and Late Results Abstract Equal to the performance of a good operation is the selection of the correct operation. The preferred operation is the one that enables the patient to remain alive and well for the longest time. Therefore, the selection of the optimal procedure requires information concerning the late results of operations that are available. Such information is most meaningful when it includes percentages of patients alive and well at various time intervals since operation, for it can then be utilized to evaluate the effect of preoperative characteristics or operative maneuvers on the late results of the operation. Only time-oriented data involving follow-up periods of variable lengths allow accurate comparisons. The purpose of this report is to present the results of aortic valve replacement using the ball-valve (Starr-Edwards) prosthesis and to define factors which significantly influence these results in the early as well as the late postoperative period. Materials and Methods Up to References 1. Berkson, J., and Gage, R.P.: Calculation of Survival Rates for Cancer , Proc Staff Meet Mayo Clin 25:270-286 ( (May 24) ) 1950. 2. Duvoisin, G.E., et al: Late Results of Cardiac-Valve Replacement , Circulation 37(suppl 2):75-85 ( (April) ) 1968.Crossref 3. Duvoisin, G.E.; Brandenburg, R.O.; and McGoon, D.C.: Factors Affecting Thromboembolism Associated With Prosthetic Heart Valves , Circulation 35-36 (suppl 1):70-76 ( (April) ) 1967.Crossref 4. Cooley, D.A., et al: " Long Term Results After Cardiac Valve Replacement: Clinical Experience With 2,097 Patients ," in Brewer, L. (ed.): Prosthetic Heart Valves , Springfield, Ill: Charles C Thomas, Publisher, 1969, pp 530-540. 5. Bergeron, J., et al: Aortic Stenosis—Clinical Manifestations and Course of the Disease: Review of 100 Proved Cases , Arch Intern Med 94:911-924 ( (Dec) ) 1954.Crossref 6. Schölmerich, P.: Biographische Aspekte der entzündlichen Klappeninsuffizienz (Pathogenese—Verlauf—Prognose) , Verh Deutsch Ges Kreislaufforsch 31:165-194, 1965. 7. Takeda, J.; Warren, R.; and Holzman, D.: Prognosis of Aortic Stenosis: Special Reference to Indications for Operative Treatment , Arch Surg 87:931-936 ( (Dec) ) 1963.Crossref 8. Mitchell, A.M., et al: The Clinical Features of Aortic Stenosis , Amer Heart J 48:684-720 ( (Nov) ) 1954.Crossref 9. Contratto, A.W., and Levine, S.A.: Aortic Stenosis With Special Reference to Angina Pectoris and Syncope , Ann Intern Med 10:1636-1653 ( (May) ) 1937.Crossref 10. Ross, J., Jr., and Braunwald, E.: Aortic Stenosis , Circulation 37-38(suppl 5):61-67 ( (July) ) 1968. 11. Linhart, J.W., et al: The Significance of Coronary Artery Disease in Aortic Valve Replacement , J Thorac Cardiovasc Surg 55:811-819 ( (June) ) 1968. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Aortic Valve Replacement With a Ball-Valve Prosthesis: Detailed Analysis of Early and Late Results

Archives of Surgery , Volume 99 (6) – Dec 1, 1969

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Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1969.01340180008002
Publisher site
See Article on Publisher Site

Abstract

Abstract Equal to the performance of a good operation is the selection of the correct operation. The preferred operation is the one that enables the patient to remain alive and well for the longest time. Therefore, the selection of the optimal procedure requires information concerning the late results of operations that are available. Such information is most meaningful when it includes percentages of patients alive and well at various time intervals since operation, for it can then be utilized to evaluate the effect of preoperative characteristics or operative maneuvers on the late results of the operation. Only time-oriented data involving follow-up periods of variable lengths allow accurate comparisons. The purpose of this report is to present the results of aortic valve replacement using the ball-valve (Starr-Edwards) prosthesis and to define factors which significantly influence these results in the early as well as the late postoperative period. Materials and Methods Up to References 1. Berkson, J., and Gage, R.P.: Calculation of Survival Rates for Cancer , Proc Staff Meet Mayo Clin 25:270-286 ( (May 24) ) 1950. 2. Duvoisin, G.E., et al: Late Results of Cardiac-Valve Replacement , Circulation 37(suppl 2):75-85 ( (April) ) 1968.Crossref 3. Duvoisin, G.E.; Brandenburg, R.O.; and McGoon, D.C.: Factors Affecting Thromboembolism Associated With Prosthetic Heart Valves , Circulation 35-36 (suppl 1):70-76 ( (April) ) 1967.Crossref 4. Cooley, D.A., et al: " Long Term Results After Cardiac Valve Replacement: Clinical Experience With 2,097 Patients ," in Brewer, L. (ed.): Prosthetic Heart Valves , Springfield, Ill: Charles C Thomas, Publisher, 1969, pp 530-540. 5. Bergeron, J., et al: Aortic Stenosis—Clinical Manifestations and Course of the Disease: Review of 100 Proved Cases , Arch Intern Med 94:911-924 ( (Dec) ) 1954.Crossref 6. Schölmerich, P.: Biographische Aspekte der entzündlichen Klappeninsuffizienz (Pathogenese—Verlauf—Prognose) , Verh Deutsch Ges Kreislaufforsch 31:165-194, 1965. 7. Takeda, J.; Warren, R.; and Holzman, D.: Prognosis of Aortic Stenosis: Special Reference to Indications for Operative Treatment , Arch Surg 87:931-936 ( (Dec) ) 1963.Crossref 8. Mitchell, A.M., et al: The Clinical Features of Aortic Stenosis , Amer Heart J 48:684-720 ( (Nov) ) 1954.Crossref 9. Contratto, A.W., and Levine, S.A.: Aortic Stenosis With Special Reference to Angina Pectoris and Syncope , Ann Intern Med 10:1636-1653 ( (May) ) 1937.Crossref 10. Ross, J., Jr., and Braunwald, E.: Aortic Stenosis , Circulation 37-38(suppl 5):61-67 ( (July) ) 1968. 11. Linhart, J.W., et al: The Significance of Coronary Artery Disease in Aortic Valve Replacement , J Thorac Cardiovasc Surg 55:811-819 ( (June) ) 1968.

Journal

Archives of SurgeryAmerican Medical Association

Published: Dec 1, 1969

References