Choice of prosthetic heart valve for adult patients

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Choice of prosthetic heart valve for adult patients.

This review summarizes the major long-term (> or =10 to 15 years) patient outcomes after insertion of many Food and Drug Administration approved prosthetic heart valves (PHV). Mechanical PHV was associated with a better survival (p < 0.02) at 15 years after aortic valve replacement (AVR) than with a bioprosthesis in the Department of Veterans Affairs (DVA) trial. In both the DVA and the Edinbur...

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Choice of prosthetic heart valve in today's practice.

In this update, current guidelines addressing prosthesis selection published by the American College of Cardiology/American Heart Association (ACC/AHA) and the European Society of Cardiology (ESC) are discussed, along with additional data that affect choices in valve prostheses. The case of a 50-year-old man undergoing aortic valve replacement is used to address anticipated operative mortality,...

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Prosthetic heart valve.

A 55-year-old invasive/clinical cardiologist worked full time, exercised regularly, and was asymptomatic. Two weeks previously, he had new onset of angina on exertion. Echocardiography/Doppler and cardiac catheterization confirmed the clinical assessment of severe aortic stenosis with a valve area of 0.5 cm/m. The aortic valve was tricuspid; left ventricular ejection fraction was 0.60. Coronary...

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Aniticoagulation in patients following prosthetic heart valve replacement.

PURPOSE To identify optimum international normalized ratio (INR) levels and required warfarin doses and anticoagulation-related complications in patients following mechanical prosthetic valve replacement. MATERIALS AND METHODS Five hundred and seven patients were prospectively followed up for 10 years (2008.5 patient-years). Anticoagulation-related complications were classified into hemorrhag...

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Treatment of obstructive thrombosed prosthetic heart valve.

Obstructive thrombosed prosthetic heart valve (OTPHV) is a serious complication of heart valve replacement. There are no generally accepted criteria for management of these patients. Therefore, in September 2012, a literature survey of studies published after 1995 was performed to analyze the data regarding clinical outcomes of patients with OTPHV treated with thrombolytic agents and with surge...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2003

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(02)02965-0