Cardiac valve replacement : current status : proceedings of the Fourth International Symposium on the St. Jude Medical Valve, March 11-14, 1984

Cardiac Valve Replacement: Current Status is the proceedings of the Fourth Interna­ tional Symposium on the ST. JUDE MEDICAL@ valve. The first three symposia on this topic were held primarily for designated investigators involved in clinical trials of the ST. JUDE MEDICAL valve. The last meeting, chaired by Michael E. DeBakey, M.D., was held in November 1982 [1], immediately before the valve was released for general clinical use in the United States by the Food and Drug Administration. These proceedings then are the first comprehensive compilation of clinical data since that time; and they include, particularly in the discussions, the experience of physicians other than the original clinical investigators. Over the past 5 years the character of these symposia has changed. Whereas the first two dealt almost entirely with the ST. JUDE MEDICAL valve, the last two have evolved into a more generic cardiac valvular surgery meeting, focusing primarily on valve replacement rather than valve repair [2]. Thus, these proceed­ ings contain a wide spectrum of topics, including a keynote presentation on criteria for selection of cardiac valve substitutes in 1984, complications of cardiac valve replacement and their treatment, a review of the current status of cardiac valve substitutes other than the ST. JUDE MEDICAL valve and a consideration of cardiac valve replacement in special circumstances. Among these special circum­ stances are four presentations on pediatric use of the ST. JUDE MEDICAL valve. Front Matter....Pages i-xxxv Front Matter....Pages 1-1 Following the Patient with Prosthetic Heart Valves....Pages 3-7 Thromboembolism after Cardiac Valve Replacement....Pages 9-16 Nonprosthetic Factors Producing Thromboembolism in Patients with Cardiac Valve Substitutes: Their Nature and the Problems of Assessing their Role....Pages 17-23 Anticoagulant Therapy and Cardiac Valvular Surgery: Coumadin ® and other Alternatives....Pages 25-27 Reoperation after Cardiac Valve Surgery: Elective, Urgent and Emergent....Pages 29-32 Back Matter....Pages 33-34 Front Matter....Pages 35-35 Clinical Experience with the Caged-Ball STARR-EDWARDS ® Prosthesis....Pages 37-40 Overview of Experience with the BJÖRK-SHILEY ® Valve....Pages 41-44 Experience with Standard and Supra-Annular CARPENTIER-EDWARDS ® Porcine Bioprostheses....Pages 45-56 Aortic Valve Replacement with the IONESCU-SHILEY ® Bovine Pericardial Valve: An 81 Month Experience....Pages 57-65 Back Matter....Pages 67-69 Front Matter....Pages 71-71 Annuloaortic Ectasia: Surgical Repair Using a Composite ST. JUDE MEDICAL ® Valve and DACRON ® Tube Graft....Pages 73-81 Valve Replacement in the Geriatric Patient Using the ST. JUDE MEDICAL ® Prosthesis....Pages 83-90 Tricuspid Valve Replacement—A Comparative Experience with Different Valve Substitutes....Pages 91-97 Double Valve Replacement....Pages 99-109 Cardiac Valve Replacement in the Presence of Coronary Atherosclerosis....Pages 111-122 Back Matter....Pages 123-126 Front Matter....Pages 127-127 ST. JUDE MEDICAL ® Valve Replacement in Infants and Children....Pages 129-135 Pediatric Use of the ST. JUDE MEDICAL ® Prosthesis....Pages 137-140 Mitral Valve Replacement in a Child Using the ST. JUDE MEDICAL ® Valve....Pages 141-144 Thromboembolism in Children with ST. JUDE MEDICAL ® Valves Maintained on Aspirin and PERSANTINE ® ....Pages 145-153 Back Matter....Pages 155-159 Front Matter....Pages 161-161 A 52-Month Experience with the ST. JUDE MEDICAL ® Cardiac Prosthesis at the Medical University of South Carolina....Pages 163-166 A 57-Month Experience with the ST. JUDE MEDICAL ® Cardiac Prosthesis at Hahnemann University Hospital....Pages 167-172 Back Matter....Pages 215-222 Front Matter....Pages 161-161 Incidence of Complication with the ST. JUDE MEDICAL ® Prosthesis: A 58-Month Study at Hamot Medical Center....Pages 173-177 Mitral Valve Replacement with ST. JUDE MEDICAL ® Prostheses: A 60-Month Study of 350 Cases at Centre Hospitalier Universitaire....Pages 179-188 A 60-Month Experience with the ST. JUDE MEDICAL ® Prosthesis at Cedars-Sinai Medical Center....Pages 189-193 A 60-Month Experience with the ST. JUDE MEDICAL ® Prosthesis at University Hospital, Brugmann....Pages 195-200 A 72-Month Clinical Experience with the ST. JUDE MEDICAL ® Cardiac Valve Prosthesis at Newark Beth Israel Medical Center....Pages 201-203 A 72-Month Experience with the ST. JUDE MEDICAL ® Prosthesis at the Minneapolis Heart Institute and United Hospitals, St. Paul, Minnesota....Pages 205-207 A 72-Month Experience with the ST. JUDE MEDICAL ® Prosthesis at the Tucson Medical Center....Pages 209-213 Back Matter....Pages 215-222 Front Matter....Pages 223-223 Late Complications in Patients with BJÖRK-SHILEY ® and ST. JUDE MEDICAL ® Prostheses....Pages 225-231 Experience with the ST. JUDE MEDICAL ® Valve and the IONESCU-SHILEY ® Bovine Pericardial Valve at the Texas Heart Institute....Pages 233-245 Comparative Assessment of Single BJÖRK-SHILEY ® , Hancock ® and ST. JUDE MEDICAL ® Valves at 43 Months after Operation....Pages 247-260 Back Matter....Pages 261-266 Front Matter....Pages 267-267 Noninvasive Assessment of Prosthetic Heart Valve Function by Continuous-Wave Doppler Ultrasound....Pages 269-279 Potential for Immobilization of the Valve Occluder in Various Valve Prostheses....Pages 281-284 Escape of a Leaflet from a ST. JUDE MEDICAL ® Prosthesis in the Mitral Position....Pages 285-289 Prophylaxis Against Thromboembolism Using Aspirin and Dipyridamole in Patients with the ST. JUDE MEDICAL ® Aortic Prosthesis....Pages 291-292 Back Matter....Pages 293-297 Front Matter....Pages 299-299 Summary and Concluding Remarks....Pages 301-303 Summary and Concluding Observations....Pages 305-310