KMID : 0364019920250111337
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Korean Journal of Thoracic and Cardiovascular Surgery 1992 Volume.25 No. 11 p.1337 ~ p.1345
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Long-term Experience with the Bjork-Shiley Monostrut Valve
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¿ø¿ë¼ø/ÀÌÁ¤·Ä/¾ÈÇõ/±è¿ëÁø/äÇå/³ëÁØ·®/±èÁ¾È¯/¼°æÇÊ
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Abstract
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One hundred and fourty-one Bj?-Shiley Monostruk Valves were implanted in 105 consecutive patients from November 1983 to February 1990. There were 61 male and 44 female patients with a mean age of 33.6 years at the surgery.
The cummurative follow-up was 370.3 patients-years with a mean of 44.0 months per patient. The operative mortality rate was 3.8%, and the linealized late mortality was 1.18%/patients-year. The incidence of major complications were
4.59%/patient-year,
and the actuarial rate of freedom from valve-related morbidity was 80.2¡¾4.4% at 7 years. The 7-year survival rate was 90.5¡¾4.1%, and the actuarial rate of freedom from thromboembolism at 7 years was 93.3¡¾2.3%. The linealized annual rates of
complication were : structural valve failure 0.27%/patients-year; non-structural valve failure 0.54/patient-year ; thromboembolism 1.62%/patient-year ; bleeding 1.62%/patient-year : endocarditis 0.54%/patient-year.
On the basis of our experience, we judged the Bj?-Shiley Monostrut valve reliable, with similar incidence of valve-related morbidity of other mechanical prosthetic valves.
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KEYWORD
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