Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
1993-10-7
|
pubmed:abstractText |
Experience with 72 consecutive subjects, who underwent aortic valve replacement with open mitral valvotomy is presented. Mean age was 30 years and history of rheumatic fever was forthcoming in 80%. 91.7% patients had aortic regurgitation--with or without aortic stenosis. 45% patients had pulmonary hypertension. Starr Edwards (51.4% and Bjork Shiley valves (45.8%) were commonly used. There were no early deaths. All patients were followed up for 1 to 19 years (mean = 9 years). There were 4 (5.5%) late deaths. 4.1% patients developed mild restenosis of the mitral valve over a mean period of 8 years and 1.04% developed mitral regurgitation mandating mitral valve replacement. A notable feature of this series is the low incidence of thromboembolism-free lives at upto 10 years followup despite receiving only aspirin in place of coumarin anticoagulation. We believe aortic valve replacement and open mitral valvotomy is a worthy alternative to double valve replacement in view of its zero hospital mortality, low late mortality, low incidence of restenosis, low thromboembolic episodes and the avoidance of coumarin anticoagulation.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:issn |
0019-4832
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
45
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
113-5
|
pubmed:dateRevised |
2010-11-18
|
pubmed:meshHeading |
pubmed-meshheading:8365749-Adolescent,
pubmed-meshheading:8365749-Adult,
pubmed-meshheading:8365749-Aortic Valve Insufficiency,
pubmed-meshheading:8365749-Balloon Dilation,
pubmed-meshheading:8365749-Female,
pubmed-meshheading:8365749-Heart Valve Prosthesis,
pubmed-meshheading:8365749-Humans,
pubmed-meshheading:8365749-Male,
pubmed-meshheading:8365749-Middle Aged,
pubmed-meshheading:8365749-Mitral Valve Stenosis,
pubmed-meshheading:8365749-Recurrence
|
pubmed:articleTitle |
Aortic valve replacement with concomitant open mitral valvotomy--early results and long term followup in 72 consecutive patients.
|
pubmed:affiliation |
Department of Thoracic & Cardiovascular Surgery, Christian Medical College Hospital, Vellore.
|
pubmed:publicationType |
Journal Article
|