. 1990; 18(3): 158-162 | |||
Carpentier-Edwards Porcine Biyoprotezlerin Uzun Süreli Takip SonuçlarıÜnsal ERSOY1, Ahmet HATİPOĞLU1, Gökhan İPEK1, A.Yüksel BOZER1Hacettepe Üniversitesi Tıp Fakültesi, Toraks ve Kalp Damar Cerrahisi Anabilim Dalı, AnkaraAğustos 1976 ile Mayıs 1986 yılları arasında toplam 69 hastaya 69 Carpentier-Edwards porcine biyoprotez kapak replasmanı yapıldı. Vak'aların 20'si erkek, 49'u kadın olup yaş ortalaması 30,1 idi. Bu vak'aların 60'ında (% 87) Carpentier-Edwards biyoprotezi mitral pozisyonda, 9'unda ise (% 13) triküspid kapak pozisyonunda kullanılmıştır. Postoperatif devrede hastalar hemodinamik,kapak disfonksiyonu, gelişen infektif endokardit, tromboemboli, sütür yetersizliği geriprostetik kaçak, hemoliz ve mortalite yönünden değerlendirildiler. Bu hastalardan 53'ü postoperatif 1-10 yıl takip edildi. Üç hastada (% 5.6) periferik emboli, 23 hastada (% 47) kapak disfonksiyonu ve 3 hastada (% 5.6) infektif endokardit tespit edildi. Hemoliz ve sütür yetersizliği görülmedi. Toplam mortalite % 7.5 (4 vak'a) idi. Anahtar Kelimeler: Carpentier-Edwards porcine biyoprotez, dayanıklılıkLong-Term Follow-up of Carpentier-Edwards Porcine BioprosthesisÜnsal ERSOY1, Ahmet HATİPOĞLU1, Gökhan İPEK1, A.Yüksel BOZER1From 1976 to 1986, sixty-nine Carpentier-Edwards standard porcine bioprostheses (60 mitral, 9 tricuspid) were implanted in 69 patients. Twently of them were male and 49 were female. Mean age at implantation was 30,1 years. Follow-up and investigation were carried out in 53 patients for 1-10 postoperative years to evaluate the end results of this type of valve replacement that included various aspects of hemodynamic values, development of valve dysfunction, rate of thromboembolic events, valve suture deficiency, infectious endocarditis, hemolysis and mortality rate. Postoperatively, the functional capacity of all patients was improved: peripheral emboli developed in 3 cases (% 5.6). valve dysfunction was noted in 23 (% 47) and infective valve endocarditis in 3 patients (% 5.6), but signs of valve suture deficiency or hemolysis was not observed. Total mortality rate was 7,5 percent corresponding to 3 operative death and one death during the long-term follow-up period. Keywords: Carpentier-Edwards porcine bioprosthesis, durabilityÜnsal ERSOY, Ahmet HATİPOĞLU, Gökhan İPEK, A.Yüksel BOZER. Long-Term Follow-up of Carpentier-Edwards Porcine Bioprosthesis. . 1990; 18(3): 158-162 |
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