[Reoperation for heart valve prosthesis. Apropos of 99 cases].
From March 1977 to November 1988, 99 patients were reoperated on after a first valvular replacement. Mean delay between the two operations was 53 months (10 days to 18 years). The patients were reoperated on mainly for mechanical disinsertion (30), bacterial endocarditis (25) and thrombosis (18 patients). Operative mortality was 11%, mainly following reoperation for bacterial endocarditis. Mean follow-up (85 patients) was 49 months (6 months-11 years). 75% were alive and doing well 4 years after reoperation and 66% at 6 years. Eight patients needed a third operation with two deaths.
Bouchart
F
F
Service de Chirurgie Thoracique et Cardio-Vasculaire, Hôpital Charles-Nicolle, Rouen.
Bessou
J P
JP
Tabley
A
A
Redonnet
M
M
Mouton-Schleifer
D
D
Arrignon
J
J
Soyer
R
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001705:Bioprosthesis / Q000009:adverse effects; D002648:Child; D004697:Endocarditis, Bacterial / Q000601:surgery; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects* / Q000401:mortality; D006461:Hemolysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000601:surgery; D012086:Reoperation / Q000401:mortality; D013927:Thrombosis / Q000209:etiology / Q000601:surgery
Réinterventions sur prothèses valvulaires cardiaques. A propos de 99 cas.