Get Advancing the Technology of Bileaflet Mechanical Heart PDF

By Priv.-Doz. Dr. Dieter Horstkotte FESC, C. Piper, M. Wiemer, H. P. Schultheiss (auth.), Prof. Dr. med. Arno Krian, Dr. J. M. Matloff, Dr. D. M. Nicoloff (eds.)

ISBN-10: 3642936911

ISBN-13: 9783642936913

ISBN-10: 3642936938

ISBN-13: 9783642936937

During the last 15 years, mechanical valves, and specifically, bileaflet mechanical valves, have made massive strides in sturdiness and hemodynamic in keeping with- formance. despite the fact that, biocompatibility when it comes to thrombo- embolism, thrombosis, and hemolysis has remained a space the place development is required. "New improvement in Bileaflet Mechanical center Valve" discusses advances in those very important components of prosthetic valve functionality and offers medical event with a brand new open pivot, bileaflet mechanical valve.

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Additional resources for Advancing the Technology of Bileaflet Mechanical Heart Valves

Example text

Operative technique Standard cardiopulmonary bypass was used in all cases. Myocardial protection was accomplished with mild (> 28°C) or deep « 25°C) systemic hypothermia, anterograde, and/or retrograde crystalloid cardioplegia, and topical surface cooling. All operative procedures were performed by the same group of surgeons using identical operative techniques. Aortic valves were inserted in the supraannular position, perpendicular in axis to the septum with interrupted simple sutures. In the mitral and tricuspid positions, the same interrupted technique was used with preservation of the native valve apparatus where possible.

NYHA functional class preoperative, aortic-clamptime, extracorporeal circulation-time (ECC-time), aortic valve size, presence or absence of redo-operation, multiple prostheses, atrial fibrillation, coronary artery bypassgraft (CAB G) , intra-aortic balloon pumping (IABP). Continuous variables are expressed as mean and standard deviations. A chi-square test was used for nonparametric data. An analysis of variance (ANOVA) was used for comparison between the three groups for the continuous variables.

8) 3S (SO) 7 (20) 33 mm 49 50 H. 1. Kimet al. Echocardiographic evaluation was performed on the seventh day postoperatively. Peak pressure gradients in the AVR group were 35 mm Hg with a mean of 16 mm Hg. 5 mm Hg. Compared to other prosthetic valves, LV dimensions were acceptable (3). Ejection fraction improved from 55 % to 60 % after surgery (Table 4). Intravascular hemolysis was evaluated with the serum LDH and plasma hemoglobin level (2). Serum LDH slightly increased from 483 IU preoperatively to 527 IU seven days postoperatively.

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Advancing the Technology of Bileaflet Mechanical Heart Valves by Priv.-Doz. Dr. Dieter Horstkotte FESC, C. Piper, M. Wiemer, H. P. Schultheiss (auth.), Prof. Dr. med. Arno Krian, Dr. J. M. Matloff, Dr. D. M. Nicoloff (eds.)

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