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The Journal of Thoracic and Cardiovascular Surgery, Vol 106, 1158-1165, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
L de Luca, N Vitale, B Giannolo, G Cafarella, L Piazza and M Cotrufo
The CarboMedics cardiac prosthesis (CarboMedics, Inc., Austin, Tex.) is a
relatively new, low-profile bileaflet prosthesis. We report the results of
a prospective mid-term evaluation of 426 CarboMedics prostheses implanted
at our institution. Three hundred fifty patients had CarboMedics prostheses
implanted in the mitral (n = 125), aortic (n = 149), or aortic and mitral
positions (n = 76). Hospital mortality was 5.2%. Follow-up was 98%
complete, with 478 patient/years and a mean follow-up of 19 months (range 1
to 42 months). Actuarial freedom from complications were calculated as
follows (linearized rates in parentheses): late mortality 97% +/- 0.77%
(2.7%), thromboembolism 98% +/- 0.4% (0.5%), anticoagulation-related
hemorrhage 98.6% +/- 0.4% (0.4%), nonstructural dysfunction 98.5% +/- 0.6
(0.2%), valve-related mortality 91.5% +/- 0.7 (0.5%), valve failure 90.9%
+/- 1% (0.7%), treatment failure 92.8% +/- 0.8% (0.7%), and all
valve-related morbidity and mortality 90% +/- 2% (2.6%). According to our
results, the CarboMedics valve has a low rate of complications that further
improves the quality of life in patients with heart valve prostheses.
ARTICLES
Mid-term follow-up after heart valve replacement with CarboMedics bileaflet prostheses
Institute of Cardiac Surgery, V. Monaldi Hospital, Second University of Naples Medical School, Italy.
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