La prothèse de St Jude medical chez les patients âges de plus de 65 ans [St Jude's Medical prosthesis in patients over 65].

Details

Serval ID
serval:BIB_8193EFEC057A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
La prothèse de St Jude medical chez les patients âges de plus de 65 ans [St Jude's Medical prosthesis in patients over 65].
Journal
Archives des Maladies du Coeur et des Vaisseaux
Author(s)
Goy J.J., Grec V., Payot M., Fischer A., Morin D., Maendly R., Stumpe F., Sigwart U., Sadeghi H.
ISSN
0003-9683 (Print)
ISSN-L
0003-9683
Publication state
Published
Issued date
1985
Volume
78
Number
9
Pages
1377-1382
Language
french
Notes
Publication types: English Abstract ; Journal ArticlePublication Status: ppublish
Abstract
Between September 1979 and December 1982, 56 St Jude Medical valvular prostheses were implanted in 54 patients over 65 years of age. Surgery consisted in simple aortic valve replacement (35 cases), simple mitral valve replacement (12 cases), double aortic and mitral valve replacement (2 cases), valve replacement and coronary artery bypass surgery (3 cases), aortic valve replacement and replacement of the ascending aorta (1 case) and mitral valve replacement and tricuspid annuloplasty (1 case). The operative mortality (within 30 days of surgery) was 3.5% (2 cases). Patients were assessed by clinical examination, ECG, chest X-ray, echocardiogram and laboratory investigations on average 19 months after surgery. There were 3 late deaths (1 endocarditis, 1 cardiac failure and 1 subdural haematoma). No cases of significant haemolysis were observed. There were no cases of thrombosis of the valve or any deaths directly related to the valve. Four patients had cerebral embolism (4.9% per patient/year). None were fatal and only 1 patient had sequellae. Clinical improvement was very significant; 96% of the patients are now in the NYHA Classes I and II whilst 80% were in Class III or IV before surgery. The cardiothoracic ratio decreased significantly from 0.56 to 0.51 (p less than 0.01). The authors conclude that elderly patients may derive great benefits from valvular cardiac surgery and that age in itself is not a contraindication to this type of surgery. The St Jude Medical prosthesis is an excellent prosthesis but thromboembolism remains a major problem as with other mechanical prostheses. Anticoagulation for life is essential.
Keywords
Age Factors, Aged, Female, Follow-Up Studies, Heart Valve Diseases/surgery, Heart Valve Prosthesis/adverse effects, Heart Valve Prosthesis/mortality, Humans, Male, Postoperative Complications/etiology, Type="Geographic">Switzerland
Pubmed
Web of science
Create date
03/09/2011 21:15
Last modification date
20/08/2019 15:41
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