| Автор | Sung, Kim, Wook |
| Автор | Ryul, Lee, Jeong |
| Автор | Bong, Kim, Ki |
| Автор | Whan, Sung, Sook |
| Автор | Hyuk, Ahn |
| Автор | Jin, Kim, Yong |
| Автор | Hurn, Chae |
| Автор | Hyun, Kim, Joo |
| Автор | Ryang, Rho, Joon |
| Автор | Whan, Kim, Chong |
| Автор | Phill, Suh, Kyung |
| Автор | Kyun, Lee, Young |
| Дата выпуска | 1993 |
| dc.description | Between 1979 and 1990, 190 patients underwent isolated aortic valve replacement at Seoul National University Hospital in Korea. There were 11 (5.8%) in-hospital deaths. Univariate analysis identified advanced age (p = 0.026), preoperative serum GOT or GPT greater than 40 IU/1 (p < 0.001, p = 0.003), NYHA Class III or IV (p = 0.029), preoperative mean pulmonary arterial pressure greater than 19 mmHg (p = 0.019), reoperation for aortic valve replacement (p = 0.035), second or third open heart surgery (p < 0.001), and use of mechanical valve (p = 0.008) as variables associated with increased in-hospital risk. Follow-up documented survival rates of 98.1% and 96.4% and event-free survival rates of 95.7% and 81.6% at 3 and 7 postoperative years, respectively. NYHA Class III or IV (p = 0.009), preoperative serum total bilirubin level greater than 1.2 mg/dl (p = 0.009), reoperation for aortic valve replacement (p = 0.03), second or third open heart surgery (p = 0.002), and use of mechanical valve were associated with decreased late survival and event-free survival. |
| Издатель | SAGE Publications |
| Название | A Clinical Study of Isolated Aortic Valve Replacement: A Univariate Analysis of Risk Factors |
| Тип | Journal Article |
| DOI | 10.1177/021849239300100309 |
| Electronic ISSN | 1816-5370 |
| Print ISSN | 0218-4923 |
| Журнал | Asian Cardiovascular and Thoracic Annals |
| Том | 1 |
| Первая страница | 137 |
| Последняя страница | 142 |
| Аффилиация | Sung, Kim, Wook, Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University |
| Аффилиация | Ryul, Lee, Jeong, Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University |
| Аффилиация | Bong, Kim, Ki, Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University |
| Аффилиация | Whan, Sung, Sook, Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University |
| Аффилиация | Hyuk, Ahn, Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University |
| Аффилиация | Jin, Kim, Yong, Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University |
| Аффилиация | Hurn, Chae, Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University |
| Аффилиация | Hyun, Kim, Joo, Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University |
| Аффилиация | Ryang, Rho, Joon, Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University |
| Аффилиация | Whan, Kim, Chong, Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University |
| Аффилиация | Phill, Suh, Kyung, Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University |
| Аффилиация | Kyun, Lee, Young, Department of Cardiovascular Surgery, Sejong General Hospital Supported by grants from 1990 SNUH Clinical Research Fund |
| Выпуск | 3 |
| Библиографическая ссылка | 1. Kay EB, Zimmerman HA, Mendelsohn D Jr. Aortic valvular surgery with artificial valves: an analysis of the first 100 patients. Circulation 1963; 27:767–71. |
| Библиографическая ссылка | 2. Kirklin JW, Barratt-Boyes BG. Aortic valve disease. Cardiac Surgery. New York: John Wiley Sons, 1986. |
| Библиографическая ссылка | 3. Christakis GT, Weisel RD, Fremes SE, et al. Can the results of contemporary aortic valve replacement be improved?. J Thorac Surg 1986; 92:37–46. |
| Библиографическая ссылка | 4. Lytle BW, Cosgrove DM, Taylor PC, et al. Primary isolated aortic valve replacement. J Thorac Cardiovasc Surg 1989; 97:675–94. |
| Библиографическая ссылка | 5. Mitchell RS, Miller DC, Stinson EB, et al. Significant patient-related determinants of prosthetic valve performance. J Thorac Cardiovasc Surg 1986; 91:807–17. |
| Библиографическая ссылка | 6. Scott WC, Miller DC, Haverich A, et al. Determinants of operative mortality for patients undergoing aortic valve replacement. J Thorac Cardiovasc Surg 1985; 89:400–13. |
| Библиографическая ссылка | 7. Daenen W, Noyez L, Lesaffre E, Goffin Y, Stalpaert G. The Ionescu-Shiley pericardial valve: results in 473 patients. Ann Thorac Surg 1988; 46:536–41. |
| Библиографическая ссылка | 8. Di Lello F, Flemma RJ, Anderson AJ, Mullen DC, Kleinman LH, Werner PH. Improved early results after aortic valve replacement: analysis by surgical time frame. Ann Thorac Surg 1989; 47:51–6. |
| Библиографическая ссылка | 9. Scott WC, Miller DC, Haverich A, et al. Determinants of operative mortality for patients undergoing aortic valve replacement. J Thorac Cardiovasc Surg 1985; 89:400–13. |
| Библиографическая ссылка | 10. Johnson LW, Hapanowicz MB, Buonanno C, Bowser MA, Marvasti MA, Parker Jr FB. Pulmonary hypertension in isolated aortic stenosis. J Thorac Cardiovasc Surg 1988; 95:603–7. |
| Библиографическая ссылка | 11. Louagie Y, Brrohet C, Robert A, et al. Factors influencing postoperative survival in aortic regurgitation. J Thorac Cardiovasc Surg 1984; 88:225–33. |
| Библиографическая ссылка | 12. Wideman FE, Blackstone EH, Kirklin JW, Karp RB, Kouchoukos NT, Pacitico AD. Hospital mortality of rereplacement of the aortic valve: incremental risk factors. J Thorac Cardiovasc Surg 1981; 82:692–8. |
| Библиографическая ссылка | 13. Hammermeister KE, Henderson WG, Burchfiel CM, et al. Comparisoń of outcome after valve replacement with a bioprosthesis versus a mechanical prosthesis: initial 5 year results of a randomized trial. J Am Coll Cardiol 1987; 10:719. |
| Библиографическая ссылка | 14. Borkon AM, Soule LM, Baughhman KL, et al. Comparative analysis of mechanical and bioprosthetic valves after aortic valve replacement. J Thorac Cardiovasc Surg 1987; 94:20–33. |
| Библиографическая ссылка | 15. Bonow RO, Borer JS, Rosing DR, et al. Preoperative exercise capacity in symptomatic patients with aortic regurgitation as a predictor of postoperative left ventricular function and long-term prognosis. Circulation 1980; 62:1280–90. |
