title: [Reoperations on heart valve prosthesis. Apropos of 99 cases].
abstract: 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.
authors.affiliation: Service de Chirurgie Thoracique et Cardio-Vasculaire, Hôpital Charles-Nicolle, Rouen.
authors.forename: F
authors.initials: F
authors.lastname: Bouchart
authors.forename: J P
authors.initials: JP
authors.lastname: Bessou
authors.forename: A
authors.initials: A
authors.lastname: Tabley
authors.forename: M
authors.initials: M
authors.lastname: Redonnet
authors.forename: D
authors.initials: D
authors.lastname: Mouton-Schleifer
authors.forename: J
authors.initials: J
authors.lastname: Arrignon
authors.forename: R
authors.initials: R
authors.lastname: Soyer
mesh_terms: D000206:Actuarial Analysis; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D004697:Endocarditis, Bacterial / Q000601:surgery; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality; D012086:Reoperation; D013927:Thrombosis / Q000601:surgery
vernacular_title: Réinterventions sur prothèses valvulaires cardiaques. A propos de 99 cas.