[Midterm results aortic valve replacement with allograft].
BACKGROUND
Aortic allograft implantation into the aortic position in adults is standard procedure with some controversary. The most popular indication is bacterial endocarditis. We would like to present our midterm results.


RESULTS
We implanted 61 allografts in 60 patients (between 10/2002 and 04/2008). Men were 46 (76.8%) and average age was 57 +/- 10.76 year. 30 days mortality was 9 people (15.0%, all with bacterial endocarditis). Late mortality 1 man (1.6%). Follow up 1-66 months, average 39.18 SD +/- 14.3 months, median 42 months.


CONCLUSIONS
Implantation of aortic allograft into the aortic position is standard procedure with good midterm results. Relative high early mortality is dependent on preoperative status in patiens with acute bacterial endocarditis--all early death people were people with acute bacterial endocarditis and minimally one vital organ severe dysfunction.
Kardiocentrum Nemocnice Ceské Budejovice. a.mokracek@seznam.cz
A
A
Mokrácek
J
J
Spatenka
H
H
Pospísilová
M
M
Sulda
R
R
Tesarík
M
M
Vambera
S
S
Sindelárová
F
F
Tousek
M
M
Setina
J
J
Vojácek
V
V
Lánská
L
L
Pesl
D000328:Adult; D000368:Aged; D001021:Aortic Valve / Q000503:physiopathology / Q000601:surgery / Q000637:transplantation*; D004697:Endocarditis, Bacterial / Q000401:mortality / Q000601:surgery*; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D015996:Survival Rate; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D055815:Young Adult