Skip to main content
Journal cover image

Determinants of reoperation after 960 valve replacements with Carpentier-Edwards prostheses.

Publication ,  Journal Article
Glower, DD; White, WD; Hatton, AC; Smith, LR; Young, WG; Wolfe, WG; Lowe, JE
Published in: J Thorac Cardiovasc Surg
February 1994

During the period of 1977 to 1990, 960 Carpentier-Edwards standard prostheses (Baxter Healthcare Corp., Santa Ana, Calif.) were placed in 875 operations. Freedom from reoperation at 10 years was 57% +/- 4%, 76% +/- 3%, and 95% +/- 5% for mitral, aortic, and tricuspid valve replacement, respectively. Age was the only independent determinant of reoperation for both aortic and mitral valves. Likelihood of reoperation decreased with age, with freedom from reoperation after 10 years in patients aged less than 60 years versus 60 or more years being 65% +/- 5% versus 90% +/- 4% after aortic valve replacement and 48% +/- 5% versus 75% +/- 6% after mitral valve replacement. For mitral valve replacement, larger valve size made reoperation more likely, with freedom from reoperation at 10 years being 71% +/- 6% for sizes median less than 31 mm and 57% +/- 5% for sizes 31 mm or larger. For aortic valve replacement, prior median sternotomy reduced freedom from reoperation at 10 years from 80% +/- 3% to 25% +/- 5%. The low prevalence of reoperation affirms the suitability of the Carpentier-Edwards prosthesis for selected elderly patients and for tricuspid valve replacement. Because of their influence on the probability of reoperation, valve size and prior cardiac procedures also merit consideration in the choice of valvular prosthesis.

Duke Scholars

Published In

J Thorac Cardiovasc Surg

ISSN

0022-5223

Publication Date

February 1994

Volume

107

Issue

2

Start / End Page

381 / 392

Location

United States

Related Subject Headings

  • Tricuspid Valve
  • Treatment Outcome
  • Survival Analysis
  • Retrospective Studies
  • Respiratory System
  • Reoperation
  • Prosthesis Failure
  • Prosthesis Design
  • Proportional Hazards Models
  • North Carolina
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Glower, D. D., White, W. D., Hatton, A. C., Smith, L. R., Young, W. G., Wolfe, W. G., & Lowe, J. E. (1994). Determinants of reoperation after 960 valve replacements with Carpentier-Edwards prostheses. J Thorac Cardiovasc Surg, 107(2), 381–392.
Glower, D. D., W. D. White, A. C. Hatton, L. R. Smith, W. G. Young, W. G. Wolfe, and J. E. Lowe. “Determinants of reoperation after 960 valve replacements with Carpentier-Edwards prostheses.J Thorac Cardiovasc Surg 107, no. 2 (February 1994): 381–92.
Glower DD, White WD, Hatton AC, Smith LR, Young WG, Wolfe WG, et al. Determinants of reoperation after 960 valve replacements with Carpentier-Edwards prostheses. J Thorac Cardiovasc Surg. 1994 Feb;107(2):381–92.
Glower, D. D., et al. “Determinants of reoperation after 960 valve replacements with Carpentier-Edwards prostheses.J Thorac Cardiovasc Surg, vol. 107, no. 2, Feb. 1994, pp. 381–92.
Glower DD, White WD, Hatton AC, Smith LR, Young WG, Wolfe WG, Lowe JE. Determinants of reoperation after 960 valve replacements with Carpentier-Edwards prostheses. J Thorac Cardiovasc Surg. 1994 Feb;107(2):381–392.
Journal cover image

Published In

J Thorac Cardiovasc Surg

ISSN

0022-5223

Publication Date

February 1994

Volume

107

Issue

2

Start / End Page

381 / 392

Location

United States

Related Subject Headings

  • Tricuspid Valve
  • Treatment Outcome
  • Survival Analysis
  • Retrospective Studies
  • Respiratory System
  • Reoperation
  • Prosthesis Failure
  • Prosthesis Design
  • Proportional Hazards Models
  • North Carolina