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KMID : 0364019940270120995
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 12 p.995 ~ p.1001
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Clinical Experience of Carbomedics Valve
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김병열
문준호/강경훈/안욱수/이정호/유희성
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Abstract
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The CarboMedics valve prosthesis is a relatively new, low profile bileaflet prosthesis. During a 6 year period from Aug. 1988 to July 1994, 158 patients had Carbomedics prostheses implanted in the mitral(n=94), aortic(n=25), or aortic and
mitral(n=39)
in National Medical Center. Hospital mortality was 9.4% and the main cause of death was output syndrome. Follow up was 96% complete with 365.4 patient-years and a mean follow up of 30 months(range 1 to 72 months). The overall actuarial 6 year
survival
rate was 91.61*3.4% and actuarial 6 year freedom from all valve related complications was 73.9*7.67. The linearized incidence of valve related complications was as follows: thromboembolism 1.37%/patient-year; valve thrombosis 0.82%/patient-year;
anticoagulant related hemorrhage 0.82%/patient-year; perivalvular leakage 0.55%/ paitent-year: prosthetic valve endocarditis 0.82%/patient-year; reoperation 1.37%/patient-year. There were no instances of structural failure. We conclude that the
Carbomedics valve has a low rate of complications that further improves the quality of life in patients with heart valve prostheses. (Korean J Thoracic Cardiovas Surg 1994; 27:995-1001)
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KEYWORD
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