Clinical Evaluation Of The Ats Valve Replacement / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 293-299, 1997.
Artigo
em Coreano
| WPRIM
| ID: wpr-164724
ABSTRACT
With the introduction of new cardiac prosthesis, it behooves surgeons and cardiologists to monitor its performance carefully. ATS (Advancing The Standard) prosthetic valve has been used first in Guro hospital in Korea, since August 1994. Between August 1994 and July 1995, 21 patients received 28 ATS prosthesis( 9 aortic, 19 mitral ). 19mitral valves were implanted through the "Extended Transseptal Approach". 10 were male and 11 were female, ranging from 20 to 54 years of age( Mean age = 37 years). The follow up period 126 patient-months(mean 6.1 months),varied from 1 month to 12 months. NYHA functional class was improved significantly, from 2.9+/-0.7 preoperatively to 1.4+/-0.5 postoperatively. Ejection fraction was also improved from 55.5+/-6.1% preoperatively to 59.8+/-7.4% postoperatively. Lactic dehydrogenase(LDH) was used as an indicator of hemolysis.The value of LDH changed from 483.3+/-162 IU/L preoperatively to 527+/-274 IU/L postoperatively with no clinical significance. Valve related complications, such as thromboembolism, valve thrombosis, anticoagulant related hemorrhage and prosthetic valve endocarditis did not develop except one anticoagulant related intracranial hemorrhage. There were no mortalities. This experience encourages us to continue using the ATS prosthetic valve, and this study will help those patients who need to have their heart valves replaced.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Próteses e Implantes
/
Tromboembolia
/
Trombose
/
Próteses Valvulares Cardíacas
/
Seguimentos
/
Mortalidade
/
Hemorragias Intracranianas
/
Endocardite
/
Valvas Cardíacas
/
Hemorragia
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
1997
Tipo de documento:
Artigo
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