Aortic valve surgery as an emergency procedure
Twenty-three patients critically ill from aortic valvular disease underwent emergency aortic valve replacement as a life-saving measure. Sixteen patients (70%) survived hospitalization and 14 (61%) are presently living. Of eighteen patients who underwent solitary aortic valve replacement, there were...
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| Veröffentlicht in: | Circulation (New York, N.Y.) N.Y.), 1970-04, Vol.41 (4), p.623-627 |
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| container_end_page | 627 |
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| container_issue | 4 |
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| container_title | Circulation (New York, N.Y.) |
| container_volume | 41 |
| creator | Hutter, Jr, A M De Sanctis, R W Nathan, M J Buckley, M J Mundth, E D Daggett, W M Austen, W G |
| description | Twenty-three patients critically ill from aortic valvular disease underwent emergency aortic valve replacement as a life-saving measure. Sixteen patients (70%) survived hospitalization and 14 (61%) are presently living. Of eighteen patients who underwent solitary aortic valve replacement, there were four hospital deaths and two late deaths. Five patients required double valve surgery, with three hospital deaths and no late deaths. The survivors often had dramatic improvement and have done well during an average follow-up period of 9 months. The major factor contributing to mortality after surgery was irreversible myocardial damage particularly evident in patients with longstanding severe valvular disease. Valve replacement can be successfully accomplished in patients critically ill with aortic valve disease, especially if it occurs as an isolated lesion. |
| doi_str_mv | 10.1161/01.cir.41.4.623 |
| format | Article |
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Sixteen patients (70%) survived hospitalization and 14 (61%) are presently living. Of eighteen patients who underwent solitary aortic valve replacement, there were four hospital deaths and two late deaths. Five patients required double valve surgery, with three hospital deaths and no late deaths. The survivors often had dramatic improvement and have done well during an average follow-up period of 9 months. The major factor contributing to mortality after surgery was irreversible myocardial damage particularly evident in patients with longstanding severe valvular disease. Valve replacement can be successfully accomplished in patients critically ill with aortic valve disease, especially if it occurs as an isolated lesion.</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><identifier>DOI: 10.1161/01.cir.41.4.623</identifier><identifier>PMID: 5437406</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Aortic Valve - surgery ; Aortic Valve Insufficiency - mortality ; Aortic Valve Insufficiency - surgery ; Aortic Valve Stenosis - mortality ; Aortic Valve Stenosis - surgery ; Endocarditis - complications ; Extracorporeal Circulation ; Female ; Heart Failure - surgery ; Heart Valve Diseases - surgery ; Heart Valve Prosthesis - mortality ; Humans ; Male ; Middle Aged ; Mitral Valve - surgery</subject><ispartof>Circulation (New York, N.Y.), 1970-04, Vol.41 (4), p.623-627</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-a93e91c7a7d2bd99a7534bca130b78e7c9049a3e1a8de0c05f6d9a82c2cb9db3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,3687,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/5437406$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hutter, Jr, A M</creatorcontrib><creatorcontrib>De Sanctis, R W</creatorcontrib><creatorcontrib>Nathan, M J</creatorcontrib><creatorcontrib>Buckley, M J</creatorcontrib><creatorcontrib>Mundth, E D</creatorcontrib><creatorcontrib>Daggett, W M</creatorcontrib><creatorcontrib>Austen, W G</creatorcontrib><title>Aortic valve surgery as an emergency procedure</title><title>Circulation (New York, N.Y.)</title><addtitle>Circulation</addtitle><description>Twenty-three patients critically ill from aortic valvular disease underwent emergency aortic valve replacement as a life-saving measure. Sixteen patients (70%) survived hospitalization and 14 (61%) are presently living. Of eighteen patients who underwent solitary aortic valve replacement, there were four hospital deaths and two late deaths. Five patients required double valve surgery, with three hospital deaths and no late deaths. The survivors often had dramatic improvement and have done well during an average follow-up period of 9 months. The major factor contributing to mortality after surgery was irreversible myocardial damage particularly evident in patients with longstanding severe valvular disease. Valve replacement can be successfully accomplished in patients critically ill with aortic valve disease, especially if it occurs as an isolated lesion.</description><subject>Adult</subject><subject>Aged</subject><subject>Aortic Valve - surgery</subject><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>Endocarditis - complications</subject><subject>Extracorporeal Circulation</subject><subject>Female</subject><subject>Heart Failure - surgery</subject><subject>Heart Valve Diseases - surgery</subject><subject>Heart Valve Prosthesis - mortality</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mitral Valve - surgery</subject><issn>0009-7322</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1970</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1rwzAQREVpSdO0554KPvVmZ6WVLOsYQj8CgULJXcjSprjYcSrFgfz7uiT0tAy8mYXH2COHgvOSz4EXvomF5IUsSoFXbMqVkLlUaK7ZFABMrlGIW3aX0vcYS9RqwiZKopZQTlmx6OOh8dnRtUfK0hC_KJ4ylzK3y6ijMe78KdvH3lMYIt2zm61rEz1c7oxtXl82y_d8_fG2Wi7WuZdoDrkzSIZ77XQQdTDGaYWy9o4j1Loi7Q1I45C4qwKBB7Utg3GV8MLXJtQ4Y8_n2fHxz0DpYLsmeWpbt6N-SLaSSqE2MILzM-hjn1Kkrd3HpnPxZDnYP0EWuF2uPq3kVtpR0Nh4ukwPdUfhn78YwV-xjmED</recordid><startdate>197004</startdate><enddate>197004</enddate><creator>Hutter, Jr, A M</creator><creator>De Sanctis, R W</creator><creator>Nathan, M J</creator><creator>Buckley, M J</creator><creator>Mundth, E D</creator><creator>Daggett, W M</creator><creator>Austen, W G</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>197004</creationdate><title>Aortic valve surgery as an emergency procedure</title><author>Hutter, Jr, A M ; De Sanctis, R W ; Nathan, M J ; Buckley, M J ; Mundth, E D ; Daggett, W M ; Austen, W G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-a93e91c7a7d2bd99a7534bca130b78e7c9049a3e1a8de0c05f6d9a82c2cb9db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1970</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aortic Valve - surgery</topic><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>Endocarditis - complications</topic><topic>Extracorporeal Circulation</topic><topic>Female</topic><topic>Heart Failure - surgery</topic><topic>Heart Valve Diseases - surgery</topic><topic>Heart Valve Prosthesis - mortality</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mitral Valve - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hutter, Jr, A M</creatorcontrib><creatorcontrib>De Sanctis, R W</creatorcontrib><creatorcontrib>Nathan, M J</creatorcontrib><creatorcontrib>Buckley, M J</creatorcontrib><creatorcontrib>Mundth, E D</creatorcontrib><creatorcontrib>Daggett, W M</creatorcontrib><creatorcontrib>Austen, W G</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>Hutter, Jr, A M</au><au>De Sanctis, R W</au><au>Nathan, M J</au><au>Buckley, M J</au><au>Mundth, E D</au><au>Daggett, W M</au><au>Austen, W G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aortic valve surgery as an emergency procedure</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>1970-04</date><risdate>1970</risdate><volume>41</volume><issue>4</issue><spage>623</spage><epage>627</epage><pages>623-627</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><abstract>Twenty-three patients critically ill from aortic valvular disease underwent emergency aortic valve replacement as a life-saving measure. 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| fulltext | fulltext |
| identifier | ISSN: 0009-7322 |
| ispartof | Circulation (New York, N.Y.), 1970-04, Vol.41 (4), p.623-627 |
| issn | 0009-7322 1524-4539 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_84553790 |
| source | MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Aged Aortic Valve - surgery Aortic Valve Insufficiency - mortality Aortic Valve Insufficiency - surgery Aortic Valve Stenosis - mortality Aortic Valve Stenosis - surgery Endocarditis - complications Extracorporeal Circulation Female Heart Failure - surgery Heart Valve Diseases - surgery Heart Valve Prosthesis - mortality Humans Male Middle Aged Mitral Valve - surgery |
| title | Aortic valve surgery as an emergency procedure |
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