Mid-term results of the valve-on-valve technique for bioprosthetic failure.
Eur J Cardiothorac Surg
; 18(4): 453-7, 2000 Oct.
Article
en En
| MEDLINE
| ID: mdl-11024384
ABSTRACT
OBJECTIVE:
Redo operations for bioprosthesis malfunction can sometimes be technically very demanding and cardiac structures may be damaged. Excising only the leaflets of the damaged bioprosthesis and leaving the old ring in situ on which the 'new' mechanical valve is sutured can, in very selected cases, represent a solution.METHODS:
Twenty-two patients were operated on, with the valve-on-valve technique, from September 1991 through December 1992. There were three operative deaths.RESULTS:
The surviving 19 patients were followed-up from 83 to 98 months (mean 90.5 months.). There were two late deaths. The patients were examined clinically and with transthoracic and transesophageal echocardiograms. All patients were in good condition and the echocardiographic examinations showed no clinically important gradients across the prostheses.CONCLUSIONS:
The valve-on-valve technique, in certain difficult situations, can give successful mid-term results.
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Banco de datos:
MEDLINE
Asunto principal:
Bioprótesis
/
Falla de Prótesis
/
Prótesis Valvulares Cardíacas
/
Implantación de Prótesis de Válvulas Cardíacas
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Eur J Cardiothorac Surg
Asunto de la revista:
CARDIOLOGIA
Año:
2000
Tipo del documento:
Article
País de afiliación:
Italia