George J. Reul, M. D. , Denton A. Cooley, M. D. , J. Michael Duncan, M

Slides:

Advertisements

Similar presentations

The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.

Advertisements

The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD Journal of Vascular Surgery Volume.

W. R. Eric Jamieson, MD, Clifton T. P. Lewis, MD, Marc P

Popliteal artery stenosis caused by a Baker's cyst

Twenty-Five Year Experience With the St

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Influence of the On-X mechanical prosthesis on intermediate-term major thromboembolism and hemorrhage: A prospective multicenter study Vincent Chan,

Richard T. Purdy, M. D. , Frederick C. Beyer, M. D. , William D

Mycotic axillary artery aneurysm

Surgical management of infected abdominal aortic grafts: Review of a 25-year experience Patrick J. O'Hara, M.D., Norman R. Hertzer, M.D., Edwin G. Beven,

A 10-Year Experience With the Carbomedics Cardiac Prosthesis

Thomas J. Takach, MD, J. Michael Duncan, MD, James J

Axillofemoral bypass: A tool with a limited role

Carotid endarterectomy in patients less than 50 years old

Reoperative “valve-in-valve” transapical transcatheter mitral valve replacement in a high-risk patient with a recent transapical transcatheter aortic.

Relationship of severity of lower limb peripheral vascular disease to mortality and morbidity: A six-year follow-up study Mary A. Howell, MD, Mary Paula.

Malcolm O. Perry, MD, Richard Kempczinski, MD

Recurrent thoracic outlet syndrome

Erik E. Swensson, M. D. , Vallee L. Willman, M. D. , Gary J

Axillopopliteal bypass for limb salvage

Results of allograft aortic valve replacement for complex endocarditis

Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin.

W. R. Eric Jamieson, MD, Clifton T. P. Lewis, MD, Marc P

Objective tinnitus resulting from internal carotid artery stenosis

Sitaram M. Emani, MD, Breanna L

Sinus of valsalva aneurysm or fistula: management and outcome

Midterm evaluation of the Tissuemed (Aspire) porcine bioprosthesis: 493 patients, 506 bioprostheses Ira R.A Goldsmith, MD, Tomasz J Spyt, Maria Boehm,

Replicating the success of mitral valve repair in the aortic valve

Thirty-year experience with a bileaflet mechanical valve prosthesis

Combined valve replacement and myocardial revascularization

Current use of inferior vena cava filters

Calvin B. Ernst, MD Journal of Vascular Surgery

Thomas J Takach, George J Reul, Denton A Cooley, James J Livesay, J

Ruptured abdominal aortic aneurysm: A population-based study

E.Stanley Crawford, M.D., Ralph W. DeNatale, M.D.

Cardiovascular surgery—The rocket and its stars: Presidential address

The role of a defined protocol for cardiac risk assessment in decreasing perioperative myocardial infarction in vascular surgery T.J. Bunt, MD Journal.

Thomas J. Takach, MD, George J. Reul, MD, Denton A. Cooley, MD, J

Arnt E Fiane, MD, Odd R Geiran, MD, PhD, Jan L Svennevig, MD, PhD

Selective screening for coronary artery disease in patients undergoing elective repair of abdominal aortic aneurysms William D. Suggs, MD, Robert B.

Research and research funding in vascular surgery

J.Dennis Baker, MD Journal of Vascular Surgery

Renal failure after embolization of a prosthetic mitral valve disc and review of systemic disc embolization Thomas H. Schwarcz, M.D., Laurence H. Coffin,

Septic embolism complicating infective endocarditis

Severe tricuspid or mitral regurgitation in inoperable patients with aortic stenosis. Can we leave them alone? Juan A. Crestanello, MD The Journal of.

Seizures following subclavian-carotid bypass

Jay B. Fisher, MD, Marc A. Granson, MD Journal of Vascular Surgery

Thomas N. Ahlborn, M.D., John D. Birkhoff, M.D., Roman Nowygrod, M.D.

Reliability of risk algorithms in predicting early and late operative outcomes in high-risk patients undergoing aortic valve replacement Todd M. Dewey,

Concomitant renal endarterectomy and aortic reconstruction

Should patient age be a consideration in carotid endarterectomy?

Kim J. Hodgson, M.D., David S. Sumner, M.D.

Acute aortic occlusion – Factors that influence outcome

The CarboMedics Valve: Experience With 1,049 Implants

Monitoring vascular surgical performance

Takaaki Suzuki, MD, Edward L. Bove, MD, Eric J

William E. Evans, M.D., James P. Hayes, M.S.

D. Emerick Szilagyi, MD—An appreciation

Presidential address: The second-generation vascular surgeon

George D. Lilly 1906–1988 Journal of Vascular Surgery

James A. DeWeese, MD Journal of Vascular Surgery

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Chordal replacement with polytetrafluoroethylene sutures for mitral valve repair: A 25- year experience Tirone E. David, MD, Susan Armstrong, MSc, Joan.

Jonathan Golledge, FRCS, Rachel Cuming, BSc, David K

Innominate artery trauma: A thirty-year experience

Thomas J. Takach, MD, George J. Reul, MD, J

Thigh claudication due to profunda femoris artery occlusion

Endovascular repair of two abdominal aortic aneurysms

Cornelius A. Sullivan, MD, Michael J. Rohrer, MD, Bruce S. Cutler, MD

Vivienne J. Halpern, MD, Roxana G. Kline, MD, Anthony J

Presentation transcript:

Valve failure with the Ionescu-Shiley bovine pericardial bioprosthesis: Analysis of 2680 patients George J. Reul, M.D., Denton A. Cooley, M.D., J.Michael Duncan, M.D., O.H. Frazier, M.D., Grady L. Hallman, M.D., James J. Livesay, M.D., David A. Ott, M.D., William E. Walker, M.D. Journal of Vascular Surgery Volume 2, Issue 1, Pages 192-204 (January 1985) DOI: 10.1016/0741-5214(85)90189-2 Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Actuarial survival at 5 years for AVR, MVR, and double-valve replacement. Early mortality is calculated in actuarial survival, and number of patients considered at each point for each valve position is shown under point. Standard error is shown by vertical lines at each point. Journal of Vascular Surgery 1985 2, 192-204DOI: (10.1016/0741-5214(85)90189-2) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Actuarial freedom from reoperation resulting from valve failure from extrinsic and intrinsic causes at 5 years is shown. There is a sudden increase in reoperation rate between 4 and 5 years. Number of patients at risk and standard error are shown. Journal of Vascular Surgery 1985 2, 192-204DOI: (10.1016/0741-5214(85)90189-2) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Valve was explanted from mitral position at 40 months postoperatively and demonstrates typical leaflet disruption at base of leaflet. Patient had marked mitral regurgitation requiring reoperation. Journal of Vascular Surgery 1985 2, 192-204DOI: (10.1016/0741-5214(85)90189-2) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Severe calcification in aortic valve removed 30 months postoperatively from patient who was 15 years old at time of implantation. Patient had marked obstruction to left ventricular outflow with all of the signs and symptoms of critical aortic stenosis. Note massive amount of calcification on aortic surface of valve. Journal of Vascular Surgery 1985 2, 192-204DOI: (10.1016/0741-5214(85)90189-2) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Actuarial freedom from valve failure is shown. Valve failure includes patients who had leaflet disruption and calcification. Note increase in valve failure rates at the 4-year and 5-year intervals. Number of patients at risk and standard error are shown. Journal of Vascular Surgery 1985 2, 192-204DOI: (10.1016/0741-5214(85)90189-2) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions