eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
4/2011
vol. 8
 
Share:
Share:
abstract:

The longest survival after mitral valve replacement with a tilting-disc Lillehei-Kaster prosthesis?

Sławomir Jander
,
Karol Bartczak
,
Mirosław Bitner
,
Marzenna Zielińska

Kardiochirurgia i Torakochirurgia Polska 2011; 4: 469–471
Online publish date: 2011/12/28
View full text Get citation
 
In 1960, Starr implanted the first mitral valve prosthesis, starting the era of mitral valve replacement (MVR). Since that time, millions of valve devices have been implanted and many patients have been followed-up and reported. However, it is difficult to find reports regarding cases of more than 25-year survival after MVR. Therefore, we present a unique case of the patient who underwent MVR with the Lillehei-Kaster prosthesis on 14 March 1979. During the 32-year follow-up the patient had some events (infective, thromboembolic and hemorrhagic) but they were effectively treated. Through the observation period he remained in functional class II of the New York Heart Association on optimized medical therapy regimen. The most recent echocardiography showed a relatively good functioning mitral prosthesis with a small effective orifice area of 1.0 cm2 and transvalvular gradient of 13/6 mm Hg. The 32-year survival after MVR is an excellent and rarely seen result.
keywords:

mitral valve replacement, long-term results, Lillehei-Kaster prosthesis

Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.