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J.Jpn. Surg. Soc.. 90(9): 1521-1524, 1989


Report on the annual meeting

A EIGHTEEN-YEAR EVALUATION OF THE Björk-Shiley VALVE PROSTHESIS

First Department of Surgery, Osaka University Medical Shool

Susumu Nakano, Hikaru Matsuda, Kazuhiro Taniguchi, Tomohide Kawamoto, Masataka Mitsuno, Takashi Ueda, Yasunaru Kawashima

We evaluated the long-term (18 years) results of 356 patients undergoing valve replacement with Björk-Shiley valve prosthesis (aortic, 212 ; mitral 120 ; double valve, 24) between 1970 and 1988. Actuaria survival rates were 90% (18 years) for AVR, 80% ‘years) for MVR and 90% (8 years) for DVR. Actuarial rates of thromboembolism were 99% (18 years) for AVR, 98% (8 years) for MVR and 94% (8 years) for DVR. Actuarial rates of freedom from events (including valve failure, thromboembolism, reoperation and prosthetic valve endocardiotis) were 82% (18 years) for AVR, 95% (8 years) and 94% (8 years) for DVR. There were no differences in these results among spherical disc, convexo-concave disc and monostrut valve.
In conclusion, this study demonstrated that Björk-Shiley valve showed a low incidence of postoperative events. These results endorse our choice of the Björk-Shiley.


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