The early risk of re-replacement of aortic valves

Ann Thorac Surg. 1977 Apr;23(4):319-22. doi: 10.1016/s0003-4975(10)64132-x.

Abstract

One hundred two patients underwent re-replacement of the aortic valve, 95 having a first reoperation, 6 a second, and 1 a third. The early (30-day) mortality among the 81 patients undergoing an elective first reoperation was 3.7% (with 70% confidence limits of 1.63% and 7.32%). Fourteen patients undergoing their first reoperation did so urgently, and 6 (42.9%) died early postoperatively. Technical problems during reoperation were uncommon. Fifteen of the 102 patients underwent reoperation because of infection in or around the device; 2 (13.3%) died early postoperatively, and at least 3 more died within nine months of operation. These data, with their 70% confidence limits, are useful in arriving at a decision for or against reoperation in individual patients.

MeSH terms

  • Alabama
  • Aortic Valve / surgery*
  • Heart Valve Prosthesis* / mortality
  • Humans
  • Postoperative Complications / mortality
  • Risk