HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Aoyagi, S. Articles by Oishi, K. Search for Related Content PubMed PubMed Citation Articles by Aoyagi, S. Articles by Oishi, K.

J Thorac Cardiovasc Surg 1994;108:1021-1029
© 1994 Mosby, Inc.

SURGERY FOR ACQUIRED HEART DISEASE

Long-term results of valve replacement with the St. Jude Medical valve

Kurume, Japan

From the Second Department of Surgery, Kurume University School of Medicine, Kurume, Japan.

Received for publication April 1, 1994. Accepted for publication July 28, 1994. Address for reprints: Shigeaki Aoyagi, MD, Second Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, 830 Japan.

Abstract

Between 1980 and 1992, 908 patients underwent single aortic (n = 178), single mitral (n = 577), or double aortic and mitral (n = 153) valve replacement with the St. Jude Medical valve at our hospital. There were 392 male patients and 516 female patients whose ages ranged from 1.2 to 74 years (mean, 52 years). The early mortality rate was 5.0% (45 patients). A 94% complete follow-up was accomplished for 863 patients who were discharged from the hospital (4682.3 patient-years). Sixty-nine of these patients died, for a late mortality rate of 8.0%. Fifty-two patients, including four patients with valve thrombosis, had thromboembolic episodes (1.1%/100 patient-years). Sixteen patients (0.3%/100 patient-years) had anticoagulant-related hemorrhage, 4 (0.1%/100 patient-years) had prosthetic valve endocarditis, 11 (0.2%/100 patient-years) had nonstructural valve dysfunction, and 16 (0.3%/100 patient-years) underwent reoperation. There were no structural valve failures in this series. The total number of valve-related deaths was 22. Of those patients who survived, 98% were in New York Heart Association functional class I or II at the date of the last follow-up. The probabilities of freedom from thromboembolism and anticoagulant-related hemorrhage at 10 years were 94% ± 2% and 97% ± 2% in aortic valve replacement, 89% ± 2% and 98% ± 4% in mitral valve replacement, and 89% ± 6% and 92% ± 6% in double valve replacement, respectively. Significant hemolysis related to the St. Jude Medical valve occurred in 8 of the 577 patients who received mitral valve replacement in our early experience, and modifying the valve orientation appeared to play an important role in reducing hemolysis. The event-free rate, including all complications and late deaths, at 10 years was 75% ± 7%, 74% ± 3%, and 81% ± 6% in aortic valve replacement, mitral valve replacement, and double valve replacement, respectively. On the basis of these results, the St. Jude Medical valve seems to be an excellent mechanical valve in terms of durability and low thrombogenicity and remains our prosthetic valve of choice when valve replacement with a mechanical valve is indicated. (J THORAC CARDIOVASC SURG 1994;108:1021-9)

This article has been cited by other articles:

				T. Gudbjartsson, T. Absi, and S. Aranki Mitral Valve Replacement Card. Surg. Adult, January 1, 2008; 3(2008): 1031 - 1068. [Full Text]

				H. V. Schaff and R. M. Suri Multiple Valve Disease Card. Surg. Adult, January 1, 2008; 3(2008): 1129 - 1158. [Full Text]

				O. Lund and M. Bland Risk-corrected impact of mechanical versus bioprosthetic valves on long-term mortality after aortic valve replacement J. Thorac. Cardiovasc. Surg., July 1, 2006; 132(1): 20 - 26. [Abstract] [Full Text] [PDF]

				A. Kulik, F. D. Rubens, P. S. Wells, C. Kearon, T. G. Mesana, J. van Berkom, and B.-K. Lam Early Postoperative Anticoagulation After Mechanical Valve Replacement: A Systematic Review Ann. Thorac. Surg., February 1, 2006; 81(2): 770 - 781. [Abstract] [Full Text] [PDF]

				P. Rivas, J. Alonso, J. Moya, M. de Gorgolas, J. Martinell, and M. L. Fernandez Guerrero The Impact of Hospital-Acquired Infections on the Microbial Etiology and Prognosis of Late-Onset Prosthetic Valve Endocarditis Chest, August 1, 2005; 128(2): 764 - 771. [Abstract] [Full Text] [PDF]

				R. Tominaga, K. Kurisu, Y. Ochiai, Y. Tomita, M. Masuda, S. Morita, and H. Yasui A 10-Year Experience With the Carbomedics Cardiac Prosthesis Ann. Thorac. Surg., March 1, 2005; 79(3): 784 - 789. [Abstract] [Full Text] [PDF]

				J P A Puvimanasinghe, J J M Takkenberg, M B Edwards, M J C Eijkemans, E W Steyerberg, L A van Herwerden, K M Taylor, G L Grunkemeier, J D F Habbema, and A J J C Bogers Comparison of outcomes after aortic valve replacement with a mechanical valve or a bioprosthesis using microsimulation Heart, October 1, 2004; 90(10): 1172 - 1178. [Abstract] [Full Text] [PDF]

				R. Hiratsuka, S. Fukunaga, E. Tayama, K. Takagi, K. Arinaga, T. Shojima, H. Teshima, and S. Aoyagi High-intensity transient signals due to prosthetic valve obstruction: diagnostic and therapeutic implications Ann. Thorac. Surg., May 1, 2004; 77(5): 1615 - 1621. [Abstract] [Full Text] [PDF]

				G. L. Grunkemeier and Y. Wu "Our complication rates are lower than theirs": Statistical critique of heart valve comparisons J. Thorac. Cardiovasc. Surg., February 1, 2003; 125(2): 290 - 300. [Abstract] [Full Text] [PDF]

				J.B. Borman and C. De Riberolles Sorin BicarbonTM bileaflet valve: a 10-year experience Eur. J. Cardiothorac. Surg., January 1, 2003; 23(1): 86 - 92. [Abstract] [Full Text] [PDF]

				T. Gudbjartsson, S. Aranki, and L. H. Cohn Mechanical/Bioprosthetic Mitral Valve Replacement Card. Surg. Adult, January 1, 2003; 2(2003): 951 - 986. [Full Text]

				H. V. Schaff and D. H. Marsh Multiple Valve Disease Card. Surg. Adult, January 1, 2003; 2(2003): 1017 - 1045. [Full Text]

				M. S. Edwards, G. B. Russell, A. F. Edwards, J. W. Hammon Jr, A. R. Cordell, and N. D. Kon Results of valve replacement with omniscience mechanical prostheses Ann. Thorac. Surg., September 1, 2002; 74(3): 665 - 670. [Abstract] [Full Text] [PDF]

				Y. Soga, H. Okabayashi, T. Nishina, S. Enomoto, I. Shimada, T.-A. Miyamoto, and T. Ban Up to 8-year follow-up of valve replacement with CarboMedics valve Ann. Thorac. Surg., February 1, 2002; 73(2): 474 - 479. [Abstract] [Full Text] [PDF]

				S. S. Khan, A. Trento, M. DeRobertis, R. M. Kass, M. Sandhu, L. S. C. Czer, C. Blanche, S. Raissi, G. P. Fontana, W. Cheng, et al. Twenty-year comparison of tissue and mechanical valve replacement J. Thorac. Cardiovasc. Surg., August 1, 2001; 122(2): 257 - 269. [Abstract] [Full Text] [PDF]

				S. K. Choudhary, A. Mathur, P. Venugopal, B. Airan, R. Sharma, A. Bhan, A. Saxena, A. Sampath Kumar, S. K. Choudhary, A. Mathur, et al. Prosthesis Size in Aortic Valve Replacement: Surgeon-Related Variable Asian Cardiovasc Thorac Ann, December 1, 2000; 8(4): 333 - 338. [Abstract] [Full Text] [PDF]

				H. Kawano, T. Oda, S. Fukunaga, E. Tayama, T. Kawara, A. Oryoji, and S. Aoyagi Tricuspid valve replacement with the St. Jude Medical valve: 19 years of experience Eur. J. Cardiothorac. Surg., November 1, 2000; 18(5): 565 - 569. [Abstract] [Full Text] [PDF]

				S. Aoyagi, M. Nishimi, H. Kawano, E. Tayama, S. Fukunaga, N. Hayashida, H. Akashi, and T. Kawara Obstruction of st jude medical valves in the aortic positionSignificance of a combination of cineradiography and echocardiography J. Thorac. Cardiovasc. Surg., July 1, 2000; 120(1): 142 - 147. [Abstract] [Full Text] [PDF]

				M. J.R. Dalrymple-Hay, R. Pearce, S. Dawkins, M. P. Haw, R. K. Lamb, S. A. Livesey, and J. L. Monro A single-center experience with 1,378 CarboMedics mechanical valve implants Ann. Thorac. Surg., February 1, 2000; 69(2): 457 - 463. [Abstract] [Full Text] [PDF]

				W.R. E. Jamieson, R. T. Miyagishima, G. L. Grunkemeier, E. Germann, C. Henderson, G. J. Fradet, L. H. Burr, and S. V. Lichtenstein Bileaflet mechanical prostheses performance in mitral position Eur. J. Cardiothorac. Surg., June 1, 1999; 15(6): 786 - 794. [Abstract] [Full Text] [PDF]

				J.-P. Remadi, P. Bizouarn, O. Baron, O. Al Habash, P. Despins, J.-L. Michaud, and D. Duveau Mitral valve replacement with the St. Jude medical prosthesis: a 15-year follow-up Ann. Thorac. Surg., September 1, 1998; 66(3): 762 - 767. [Abstract] [Full Text] [PDF]

				B. K. Podesser, G. Khuenl-Brady, E. Eigenbauer, S. Roedler, A. Schmiedberger, E. Wolner, and A. Moritz Long-term results of heart valve replacement with the Edwards Duromedics bileaflet prosthesis: A prospective ten-year clinical follow-up J. Thorac. Cardiovasc. Surg., May 1, 1998; 115(5): 1121 - 1129. [Abstract] [Full Text] [PDF]

				W.R. E. Jamieson, A. I. Munro, R. T. Miyagishima, G. L. Grunkemeier, L. H. Burr, S. V. Lichtenstein, and G. F. O. Tyers Multiple mechanical valve replacement surgery comparison of St. Jude Medical and CarboMedics prostheses Eur. J. Cardiothorac. Surg., February 1, 1998; 13(2): 151 - 159. [Abstract] [Full Text] [PDF]

				T. A. Orszulak, H. V. Schaff, F. J. Puga, G. K. Danielson, C. J. Mullany, B. J. Anderson, and D. M. Ilstrup Event Status of the Starr-Edwards Aortic Valve to 20 Years: A Benchmark for Comparison Ann. Thorac. Surg., March 1, 1997; 63(3): 620 - 626. [Abstract] [Full Text]

				T. E. David, V. L. Gott, L. A. Harker, G. E. Miller Jr, D. C. Naftel, A. G. G. Turpie, and C. W. Akins Mechanical Valves Ann. Thorac. Surg., November 1, 1996; 62(5): 1567 - 1570. [Full Text]

				J. F. Nistal, A. Hurle, J. M. Revuelta, and M. Gandarillas CLINICAL EXPERIENCE WITH THE CARBOMEDICS VALVE: EARLY RESULTS WITH A NEW BILEAFLET MECHANICAL PROSTHESIS J. Thorac. Cardiovasc. Surg., July 1, 1996; 112(1): 59 - 68. [Abstract] [Full Text]

				C. W. Akins Results With Mechanical Cardiac Valvular Prostheses Ann. Thorac. Surg., December 1, 1995; 60(6): 1836 - 1844. [Abstract] [Full Text]