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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1983-10-8
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pubmed:abstractText |
Between February, 1977, and April, 1982, 168 patients underwent aortic valve replacement (AVR) with an Ionescu-Shiley bovine pericardial valve. Concomitant procedures were performed in 71 patients. There were 12 hospital deaths (7.1%). Among patients having AVR only, there were 5 deaths (5.2%). Assessment included valve durability, incidence of thromboembolism, clinical improvement, and patient survival. There was 100% follow-up. Actuarial freedom from intrinsic valve failure at 5 years was 96.3 +/- 3.6%. Intrinsic valve failure occurred only once, 0.3 episodes per 100 patient-years. Four patients had thromboembolic complications. As for clinical status, 99.3% of surviving patients are in New York Heart Association Functional Class I or II, including 79 patients with valve sizes 17, 19, or 21 mm (56%). Among 13 late deaths, 9 were related to the cardiovascular system. Overall patient survival is 84.9 +/- 4.7%. Among the 92 patients with isolated AVR, 87.8 +/- 5.9% are alive at the 5-year follow-up. If the incidence of valve failure is not altered in years to come, the durability of the Ionescu-Shiley bovine pericardial valve will surpass that of previous bioprostheses.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0003-4975
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
36
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
270-80
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:6615065-Actuarial Analysis,
pubmed-meshheading:6615065-Adolescent,
pubmed-meshheading:6615065-Adult,
pubmed-meshheading:6615065-Aged,
pubmed-meshheading:6615065-Animals,
pubmed-meshheading:6615065-Aortic Valve,
pubmed-meshheading:6615065-Bioprosthesis,
pubmed-meshheading:6615065-Cattle,
pubmed-meshheading:6615065-Endocarditis, Bacterial,
pubmed-meshheading:6615065-Female,
pubmed-meshheading:6615065-Heart Valve Prosthesis,
pubmed-meshheading:6615065-Humans,
pubmed-meshheading:6615065-Male,
pubmed-meshheading:6615065-Middle Aged,
pubmed-meshheading:6615065-Thromboembolism
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pubmed:year |
1983
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pubmed:articleTitle |
Five-year experience with the Ionescu-Shiley bovine pericardial valve in the aortic position.
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pubmed:publicationType |
Journal Article
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