Survival after Starr-Edwards aortic valve replacement
A series of 507 patients who underwent Starr-Edwards aortic valve replacement is reported. Four hundred fifty-five of these patients were adequately followed an average of 36 months. Of this number, 339 patients (75%) are alive, and 116 (25%) have died. There was an operative mortality of 10.8% and...
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| Veröffentlicht in: | Circulation (New York, N.Y.) N.Y.), 1971-07, Vol.44 (1), p.1-8 |
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| container_title | Circulation (New York, N.Y.) |
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| creator | Shean, F C Austen, W G Buckley, M J Mundth, E D Scannell, J G Daggett, W M |
| description | A series of 507 patients who underwent Starr-Edwards aortic valve replacement is reported. Four hundred fifty-five of these patients were adequately followed an average of 36 months. Of this number, 339 patients (75%) are alive, and 116 (25%) have died. There was an operative mortality of 10.8% and a late mortality of 13.4%. Patients with mixed aortic stenosis and regurgitation had a significantly lower cumulative mortality than patients with pure stenosis or regurgitation. Complications related to the valvular prosthesis itself were frequent. Although the great majority were minor, prosthetic complications caused a significant number of deaths and considerable morbidity. Myocardial disease was the other significant limiting factor in survival. Preoperative cardiac index and functional classification were valuable in predicting long-term survival, but age at time of surgery and type of preoperative symptoms were of lesser prognostic value. |
| doi_str_mv | 10.1161/01.CIR.44.1.1 |
| format | Article |
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Four hundred fifty-five of these patients were adequately followed an average of 36 months. Of this number, 339 patients (75%) are alive, and 116 (25%) have died. There was an operative mortality of 10.8% and a late mortality of 13.4%. Patients with mixed aortic stenosis and regurgitation had a significantly lower cumulative mortality than patients with pure stenosis or regurgitation. Complications related to the valvular prosthesis itself were frequent. Although the great majority were minor, prosthetic complications caused a significant number of deaths and considerable morbidity. Myocardial disease was the other significant limiting factor in survival. Preoperative cardiac index and functional classification were valuable in predicting long-term survival, but age at time of surgery and type of preoperative symptoms were of lesser prognostic value.</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><identifier>DOI: 10.1161/01.CIR.44.1.1</identifier><identifier>PMID: 5561415</identifier><language>eng</language><publisher>United States</publisher><subject>Aortic Valve Insufficiency - mortality ; Aortic Valve Insufficiency - surgery ; Aortic Valve Stenosis - mortality ; Aortic Valve Stenosis - surgery ; Emergencies ; Female ; Follow-Up Studies ; Heart Block - epidemiology ; Heart Diseases - complications ; Heart Valve Prosthesis - instrumentation ; Heart Valve Prosthesis - mortality ; Humans ; Male ; Methods ; Middle Aged ; Nervous System Diseases - epidemiology ; Postoperative Complications - epidemiology ; Prognosis</subject><ispartof>Circulation (New York, N.Y.), 1971-07, Vol.44 (1), p.1-8</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-221e47f3059e1b3b6afac2428649c8cd8dde035d604188cb902d2b921071c6163</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,3685,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/5561415$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shean, F C</creatorcontrib><creatorcontrib>Austen, W G</creatorcontrib><creatorcontrib>Buckley, M J</creatorcontrib><creatorcontrib>Mundth, E D</creatorcontrib><creatorcontrib>Scannell, J G</creatorcontrib><creatorcontrib>Daggett, W M</creatorcontrib><title>Survival after Starr-Edwards aortic valve replacement</title><title>Circulation (New York, N.Y.)</title><addtitle>Circulation</addtitle><description>A series of 507 patients who underwent Starr-Edwards aortic valve replacement is reported. Four hundred fifty-five of these patients were adequately followed an average of 36 months. Of this number, 339 patients (75%) are alive, and 116 (25%) have died. There was an operative mortality of 10.8% and a late mortality of 13.4%. Patients with mixed aortic stenosis and regurgitation had a significantly lower cumulative mortality than patients with pure stenosis or regurgitation. Complications related to the valvular prosthesis itself were frequent. Although the great majority were minor, prosthetic complications caused a significant number of deaths and considerable morbidity. Myocardial disease was the other significant limiting factor in survival. Preoperative cardiac index and functional classification were valuable in predicting long-term survival, but age at time of surgery and type of preoperative symptoms were of lesser prognostic value.</description><subject>Aortic Valve Insufficiency - mortality</subject><subject>Aortic Valve Insufficiency - surgery</subject><subject>Aortic Valve Stenosis - mortality</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>Emergencies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Block - epidemiology</subject><subject>Heart Diseases - complications</subject><subject>Heart Valve Prosthesis - instrumentation</subject><subject>Heart Valve Prosthesis - mortality</subject><subject>Humans</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Nervous System Diseases - epidemiology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prognosis</subject><issn>0009-7322</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1971</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kEtLw0AUhQdRaq0uXQpZuZs4d17JLKX4KBQEq-thMnMDkaSpM0nFf29Ki6vD4XycxUfILbAcQMMDg3y5es-lzCGHMzIHxSWVSphzMmeMGVoIzi_JVUpfU9WiUDMyU0qDBDUnajPGfbN3bebqAWO2GVyM9Cn8uBhS5vo4ND6b5j1mEXet89jhdrgmF7VrE96cckE-n58-lq90_fayWj6uqRdaDZRzQFnUgimDUIlKu9p5LnmppfGlD2UIyIQKmkkoS18ZxgOvDAdWgNegxYLcH393sf8eMQ22a5LHtnVb7MdkC2lKpuQBpEfQxz6liLXdxaZz8dcCswdNloGdNFkpLViY-LvT8Vh1GP7pkxfxB86zYWo</recordid><startdate>197107</startdate><enddate>197107</enddate><creator>Shean, F C</creator><creator>Austen, W G</creator><creator>Buckley, M J</creator><creator>Mundth, E D</creator><creator>Scannell, J G</creator><creator>Daggett, W M</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197107</creationdate><title>Survival after Starr-Edwards aortic valve replacement</title><author>Shean, F C ; Austen, W G ; Buckley, M J ; Mundth, E D ; Scannell, J G ; Daggett, W M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-221e47f3059e1b3b6afac2428649c8cd8dde035d604188cb902d2b921071c6163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1971</creationdate><topic>Aortic Valve Insufficiency - mortality</topic><topic>Aortic Valve Insufficiency - surgery</topic><topic>Aortic Valve Stenosis - mortality</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>Emergencies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Block - epidemiology</topic><topic>Heart Diseases - complications</topic><topic>Heart Valve Prosthesis - instrumentation</topic><topic>Heart Valve Prosthesis - mortality</topic><topic>Humans</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Nervous System Diseases - epidemiology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prognosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shean, F C</creatorcontrib><creatorcontrib>Austen, W G</creatorcontrib><creatorcontrib>Buckley, M J</creatorcontrib><creatorcontrib>Mundth, E D</creatorcontrib><creatorcontrib>Scannell, J G</creatorcontrib><creatorcontrib>Daggett, W M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shean, F C</au><au>Austen, W G</au><au>Buckley, M J</au><au>Mundth, E D</au><au>Scannell, J G</au><au>Daggett, W M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survival after Starr-Edwards aortic valve replacement</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>1971-07</date><risdate>1971</risdate><volume>44</volume><issue>1</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><abstract>A series of 507 patients who underwent Starr-Edwards aortic valve replacement is reported. 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Preoperative cardiac index and functional classification were valuable in predicting long-term survival, but age at time of surgery and type of preoperative symptoms were of lesser prognostic value.</abstract><cop>United States</cop><pmid>5561415</pmid><doi>10.1161/01.CIR.44.1.1</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0009-7322 |
| ispartof | Circulation (New York, N.Y.), 1971-07, Vol.44 (1), p.1-8 |
| issn | 0009-7322 1524-4539 |
| language | eng |
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| source | MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals |
| subjects | Aortic Valve Insufficiency - mortality Aortic Valve Insufficiency - surgery Aortic Valve Stenosis - mortality Aortic Valve Stenosis - surgery Emergencies Female Follow-Up Studies Heart Block - epidemiology Heart Diseases - complications Heart Valve Prosthesis - instrumentation Heart Valve Prosthesis - mortality Humans Male Methods Middle Aged Nervous System Diseases - epidemiology Postoperative Complications - epidemiology Prognosis |
| title | Survival after Starr-Edwards aortic valve replacement |
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