Aortic Valve Replacement: A 9-Year Experience

Marshall L. Jacobs, Burt N. Fowler, Michael P. Vezeridis, Naythania Jones, Willard M. Daggett

Research output: Contribution to journalArticle

Abstract

Experience with aortic valve replacement over a 9-year period is reviewed. Hospital mortality was 5.0%, with an additional late mortality of 15.0% during a mean follow-up period of 4.3 years. There was a 7.5% mortality among the 93 patients who were operated on using direct coronary perfusion. There were no early deaths among the 48 patients operated on using cold cardioplegic arrest. Paravalvular leaks developed in 20 patients, and 9 had reoperation. There were no early deaths following elective reoperations for prosthetic valve dysfunction, but urgent reoperation was associated with a 40% mortality. Eighty percent of all patients are still alive at a maximum follow-up of 9 years. Eighty-six percent of the survivors who were in New York Heart Association Functional Class III or IV before operation are now in Class I or II. Hypothermic cardioplegic arrest was found to be preferable to coronary perfusion as a method of myocardial protection during aortic valve replacement. Patients with paravalvular leaks who have a history of left ventricular failure prior to aortic valve replacement should be considered candidates for early elective reoperation, owing to the significantly greater mortality associated with urgent reoperation.

Original languageEnglish (US)
Pages (from-to)439-447
Number of pages9
JournalAnnals of Thoracic Surgery
Volume30
Issue number5
DOIs
StatePublished - Jan 1 1980
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Jacobs, M. L., Fowler, B. N., Vezeridis, M. P., Jones, N., & Daggett, W. M. (1980). Aortic Valve Replacement: A 9-Year Experience. Annals of Thoracic Surgery, 30(5), 439-447. https://doi.org/10.1016/S0003-4975(10)61295-7