[Arteritis leading to a thoracic aorta coarctation syndrome. Report of a case surgically treated].
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Biomedical subjects
Publications and source records attributed to N A Stolf.
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Heart valve replacement has initiated special research efforts and has led to debate among surgeons from different surgical services. It is in this area of cardiac surgery that complications are frequent. This paper is a summarized review of the problems related to valve replacement by the Starr-Edwards prosthesis at the University of Sao Paulo Medical School Heart Institute. It describes the difficulties which led the authors to abandon its use in 1971. Clinical experience is from July 1958 to January 1974.
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Homologous dura-mater valve was employed in a series of 2.338 patients in the period between January 1971 and January 1979. A restricted group of the first 272 patients were followed-up from six to eight years. This study showed gratifying results following mitral and tricuspid valves replacement and not as satisfactory results after aortic replacement. The postoperative complications were, for mitral valve: fungal endocarditis (0.68%), bacterial endocarditis (2.56%) thromboembolism (1.36%) valve dysfunction (12.9%) and reoperation was performed in 5.12% of the cases. For aortic valve replacement there was fungal endocarditis in 1.36% of cases, bacterial endocarditis in 5.68%, valve dysfunction in 29.54% and the incidence of reoperation was 23.28%. No anticoagulants were employed in this series.
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