title: Bioprostheses at twelve years.
abstract: From January 1976 through December 1986, seven different types of bioprostheses have been implanted in our center. The following bioprostheses (total 1,414) were implanted in 1,098 patients: Carpentier-Edwards 567, Hancock 302, Liotta 268, Ionescu-Shiley 127, Angell-Shiley 72, Vascor 68, Implamedic 10. Follow-up ranged from 1 to 12 years, cumulative duration of follow-up was 6,747 patient-years and 8,637 valve-years, being 95.4% complete. Cumulative actuarial probability of being free from tissue valve failure (TVF) was 85.1% +/- 2.0% at 10 years, and 61.6% +/- 9.6% at 12 years. Actuarial probability of being free from TVF was 71.2% +/- 10.8% at 12 years for Carpentier-Edwards, 51% +/- 21.7% at 12 years for Hancock, 73.4% +/- 14.1% at 11 years for Angell-Shiley, 53% +/- 27.4% at 9 years for Liotta, 68% +/- 14.8% at 11 years for Ionescu-Shiley, 53.2% +/- 22.2% at 7 years for Vascor, 72.2% +/- 21.5% at 5 years for Implamedic bioprostheses. In this comparison of seven different bioprostheses, there is a large group of valves behaving in a very similar way. Only a few prostheses showed a constant and early negative trend.
authors.affiliation: Department of Cardiac Surgery, 2nd Medical School, University of Naples, Italy.
authors.forename: N
authors.initials: N
authors.lastname: Spampinato
authors.forename: P
authors.initials: P
authors.lastname: Stassano
authors.forename: A
authors.initials: A
authors.lastname: Cammarota
authors.forename: A
authors.initials: A
authors.lastname: Musumeci
authors.forename: V
authors.initials: V
authors.lastname: Mannacio
authors.forename: D
authors.initials: D
authors.lastname: Iorio
authors.forename: E
authors.initials: E
authors.lastname: Covino
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001705:Bioprosthesis / Q000592:standards*; D002648:Child; D002675:Child, Preschool; D006349:Heart Valve Diseases / Q000601:surgery*; D006350:Heart Valve Prosthesis / Q000009:adverse effects / Q000592:standards*; D006785:Hospitals, University; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008875:Middle Aged; D011474:Prosthesis Design / Q000592:standards*; D011475:Prosthesis Failure