KMID : 0364019940270080664
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Korean Journal of Thoracic and Cardiovascular Surgery 1994 Volume.27 No. 8 p.664 ~ p.668
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Long-Term Clinical results of the St. Jude Medical Valve in Vitral Position
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Abstract
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A total of 217 patients underwent single mitral valve replacement(MVR) with the St. Jude Medical valve between September 1984 and the end of 1992. There were 86 males and 131 females with a mean age of 34.6*14.4 years(range 5 months-61 years). A
previous valve replacement had been performed in 46 patients(21.2%). An early mortality rate was 7.4%(5.2% in primary MVR; and 15.2% in re-replacement MVR).
Early survivors of 201 patients were followed up for a total of 934.5 patient-years(mean 4.7*2.1 years). A late mortality rate was 2.5% or 0.54%/patient-vear The linearized rates of thromboembolism, valve thrombosis and anticoagulation-related
bleeding
were 1.301%, 0.214% and 0.428%/patient-year, respectively. The actuarial survival including operative mortality was 89.9%*2.1% at postoperative 10 years. The freedom from thromboemolism was 91.3%*2.5% and the actuarial estimate of incidence free
late
deaths and all complications were 80.9%*3.8% at 10 years. There were no mechanical failures.
In summary, the St. Jude Medical prosthesis performed satisfactorily with an acceptable rate of the complications. (Korean J Thoracic Cardiovas Surg 1994; 27:664-8)
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