Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Ten-year Clinical Experience with CarboMedics Valve

CarboMedics 판막의 10년 임상 성적

  • 김근직 (경북대학교 의과대학 흉부외과학교실) ;
  • 이응배 (경북대학교 의과대학 흉부외과학교실) ;
  • 조준용 (경북대학교 의과대학 흉부외과학교실) ;
  • 전상훈 (경북대학교 의과대학 흉부외과학교실) ;
  • 장봉현 (경북대학교 의과대학 흉부외과학교실) ;
  • 이종태 (경북대학교 의과대학 흉부외과학교실) ;
  • 김규태 (경북대학교 의과대학 흉부외과학교실)
  • Published : 2000.08.01
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Abstract

From March 1988 to June 1994, 275 CarboMedics cardiac valve prostheses(199 mitral, 70 aortic and 3 tricuspid) were implanted in 226 consecutive patients(mean age 39 years, male/female 90/136) by one surgical team operating on adult cardiac patients at Kyungpook University Hospital. Total follow up represented 16,848 patient-months(mean 76 months) and follow up rate was 96%. One hundred and forty-nine patients(66%) wer in NYHA functional class III or IV preoperatively, and 204 patients(99.5%) were in class I or II postoperatively. Early mortality was 4.9% and late death was 9.3%. The actuarial survival at 81 months was 86.l2$\pm$3.1%. The linearized incidence of valve-related death, prosthetic valve thrombosis, anticoagulation-related hemorrhage, non-structural dysfunction and reoperation were 0.71%, 0.43%, 0.07%, 0.21%, and 0.14% respectively. The 81-month rate of freedom from all valve related complications and deaths including hospital mortality was 88.1$\pm$2.5%. Thee facts suggest that the CarboMedics cardiac valve has excellent result, low incidence of valve-related complications and no structureal deterioration.

Keywords

References

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