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

This Article 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 Chaux, A. Articles by Sustaita, H. Search for Related Content PubMed PubMed Citation Articles by Chaux, A. Articles by Sustaita, H.

The Journal of Thoracic and Cardiovascular Surgery, Vol 81, 202-211, Copyright © 1981 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

An appreciation of the new St. Jude valvular prosthesis

A Chaux, RJ Gray, JM Matloff, H Feldman and H Sustaita

Beginning in March, 1978, 88 patients have had cardiac valve replacements with St. Jude prostheses. There were 26 males and 62 females, aged 6 to 80 years (mean 60). Single valve replacement was done in 67. Double valve replacement was done in 21; 12 of them had two St. Jude valves and nine had a different second valve. There were 57 mitral and 43 aortic valves replaced. Thirty-six patients had concomitant aorta-coronary bypass, and six others had additional cardiac procedures. All patients have been followed for a total of 807 patient-months (mean 9 months). Seventy-nine have been receiving sodium warfarin and seven are not receiving anticoagulants. There has been one embolic episode. There are no valve failures to date. Early mortality is 2.3% and late mortality, 5.7%; no death was valve related. Fifty- three survivors have improved by two or more N.Y.H.A. classifications. Fifty-four valves studied postoperatively at rest, during pacing, and during isoproterenol infusion have demonstrated significantly better hemodynamic performance than have mitral porcine xenografts studied in an identical manner (p < 0.05). Phonocardiography, M-mode and two- dimensional echocardiography, and cinefluoroscopy, carried out in 18 patients, have proved to be reliable noninvasive techniques for long- term follow-up. This experience indicates that the St. Jude prosthesis offers an excellent and predictable alternative in the surgeon's decision-making concerning valve choices.

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]

				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]

				R. De Paulis, L. Sommariva, G. M. De Matteis, E. Caprara, F. Tomai, A. P. de Peppo, P. Polisca, C. Bassano, and L. Chiariello EXTENT AND PATTERN OF REGRESSION OF LEFT VENTRICULAR HYPERTROPHY IN PATIENTS WITH SMALL SIZE CARBOMEDICS AORTIC VALVES J. Thorac. Cardiovasc. Surg., May 1, 1997; 113(5): 901 - 909. [Abstract] [Full Text]

				D. Sawant, A. K. Singh, W. C. Feng, A. A. Bert, and F. Rotenberg ST. JUDE MEDICAL CARDIAC VALVES IN SMALL AORTIC ROOTS: FOLLOW-UP TO SIXTEEN YEARS J. Thorac. Cardiovasc. Surg., March 1, 1997; 113(3): 499 - 509. [Abstract] [Full Text]

				A. Laske, R. Jenni, M. Maloigne, G. Vassalli, O. Bertel, and M. I. Turina Pressure Gradients Across Bileaflet Aortic Valves by Direct Measurement and Echocardiography Ann. Thorac. Surg., January 1, 1996; 61(1): 48 - 57. [Abstract] [Full Text]

				S. Khan, A. Chaux, J. Matloff, C. Blanche, M. DeRobertis, R. Kass, T. P. Tsai, A. Trento, S. Nessim, R. Gray, et al. The St. Jude Medical valveExperience with 1000 cases J. Thorac. Cardiovasc. Surg., December 1, 1994; 108(6): 1010 - 1020. [Abstract] [Full Text]

				R. De Paulis, L. Sommariva, F. Russo, F. Tomai, A. Tondo, C. Pagliaricci, C. Bassano, and L. Chiariello Doppler echocardiography evaluation of the CarboMedics valve in patients with small aortic anulus and valve prosthesis-body surface area mismatch J. Thorac. Cardiovasc. Surg., July 1, 1994; 108(1): 57 - 62. [Abstract] [Full Text]

				J. B. Wong, R. K. Webb, and S. G. Pauker Double Trouble: A Patient with Two Prosthetic Values and Two Episodes of Intracranial Bleeding Med Decis Making, August 1, 1987; 7(3): 174 - 193. [PDF]

				G. Paolini, F. Fabbrizzi, R. Cristofani, G. Borzoni, R. Giordani, A. Lucchetti, and L. Salvatore Chronic Intravascular Hemolysis Following Cardiac Replacement With the St. Jude Medical Prosthesis: Comparative Study With the Bjork Shiley Prosthesis Vascular and Endovascular Surgery, November 1, 1985; 19(6): 412 - 420. [Abstract] [PDF]