Valve Replacement with the Starr-Edwards and Hancock Prostheses

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Hancock, and Carpentier-Edwards heart valve prostheses

From 1975 to 1979, 540 patients undergoing valve replacement were entered into a randomized trial and received either a Bjdrk-Shiley (273 patients) or a porcine heterograft prosthesis (initially a Hancock valve [107 patients] and later a Carpentier-Edwards prosthesis [ 160 patients]). Two hundred and sixty-two patients required mitral valve replacement, 210 required aortic valve replacement, 60...

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Pathology of heart valve replacement surgery: autopsies of 62 patients with Starr-Edwards prostheses.

Hemorrhage in the atrioventricular conduction system and myocardial necrosis commonly occur in the first week after valve replacement. Later, thrombosis on the prosthesis and infarcts in other organs become important but developing or persistent myocardial damage continuously menaces. Occlusion of small vessels, especially by embolism of foreign material, may contribute to the development of th...

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The Starr-Edwards valve.

This report reviews the results obtained with the current models of the Silastic ball valve, classifying the experience with the mitral and aortic models into the periods (formula: see text) before and after 1973. Valve failure is defined according to the Stanford method and includes any valve-related death or complication necessitating valve removal (there have been no mechanical failures). Co...

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THERAPY AND PREVENTION VALVE REPLACEMENT A prospective evaluation of the Bjbrk-Shiley, Hancock, and Carpentier-Edwards heart valve prostheses

From 1975 to 1979, 540 patients undergoing valve replacement were entered into a randomized trial and received either a Bjdrk-Shiley (273 patients) or a porcine heterograft prosthesis (initially a Hancock valve [107 patients] and later a Carpentier-Edwards prosthesis [ 160 patients]). Two hundred and sixty-two patients required mitral valve replacement, 210 required aortic valve replacement, 60...

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Acute dysfunction of Starr-Edwards mitral prostheses.

Four cases of acute dysfunction of Starr-Edwards mitral prostheses are recorded. The patients presented with sudden dyspnoea 4 to 18 months after apparently successful mitral valve replacement. The prosthetic valve dysfunction was caused by thrombus on the bare metal cage of the prosthesis. No warning thromboembolic phenomena had been recorded. Urgent replacement of the valve resulted in the su...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1977

ISSN: 0003-4932

DOI: 10.1097/00000658-197709000-00008