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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 78(4)

The long-term results and changing patterns of biological valves at the mitral position in contemporary practice in Japan

https://doi.org/10.18999/nagjms.78.4.369
https://doi.org/10.18999/nagjms.78.4.369
3dfe6c44-96b9-46a2-8679-2d7a37455da0
名前 / ファイル ライセンス アクション
12_Abe.pdf 12_Abe.pdf (239.7 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2016-11-29
タイトル
タイトル The long-term results and changing patterns of biological valves at the mitral position in contemporary practice in Japan
著者 Abe, Tomonobu

× Abe, Tomonobu

WEKO 67579

Abe, Tomonobu

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Ito, Hideki

× Ito, Hideki

WEKO 67580

Ito, Hideki

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Mutsuga, Masato

× Mutsuga, Masato

WEKO 67581

Mutsuga, Masato

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Fujimoto, Kazuro

× Fujimoto, Kazuro

WEKO 67582

Fujimoto, Kazuro

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Terazawa, Sachie

× Terazawa, Sachie

WEKO 67583

Terazawa, Sachie

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Narita, Yuji

× Narita, Yuji

WEKO 67584

Narita, Yuji

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Oshima, Hideki

× Oshima, Hideki

WEKO 67585

Oshima, Hideki

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Usui, Akihiko

× Usui, Akihiko

WEKO 67586

Usui, Akihiko

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キーワード
主題Scheme Other
主題 Imitral valve replacement
キーワード
主題Scheme Other
主題 biological prosthesis
キーワード
主題Scheme Other
主題 long-term results
抄録
内容記述 Mitral valve surgery has changed with the wide acceptance of mitral valve repair. The aim of this study is to obtain the long-term results of patients who underwent mitral valve replacement (MVR) using a biological prosthesis in contemporary practice in Japan. From January 1990 to December 2013, 76 patients underwent MVR using a biological prosthesis with or without concomitant surgery. Data were obtained by means of a questionnaire and a telephone interview. The mean follow-up period was 4.26 years. The etiologies of the patients included dilated cardiomyopathy (DCM) (n=20 [26.3%]), ischemic mitral regurgitation (n=7 [9.2%]). There is a trend towards decreasing number of rheumatic and degenerative disease and increasing number of DCM and ischemic mitral regurgitation. Three patients (3.9%) died in the perioperative period. The 5- and 10-year overall survival rates were 69.6% and 31.7%, respectively. The 5- and 10-year freedom from valve related death were 95.6% and 80.6 %, respectively. The linearized rates of valve-related complications were as follows: thromboembolism (0.63%/patient/year), bleeding (1.25%/patient/year). One patient underwent reoperation for structural degeneration 13 years after the first operation. The present study shows the long-term results of mitral valve replacement with bioproshtesis in a contemporary case series. The practice pattern is changing. The low rate of valve-related complication justify the current patient selection.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.78.4.369
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 78, 号 4, p. 369-376, 発行日 2016-11
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/784.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/25117
識別子タイプ HDL
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