Update in Heart Valve Replacement

Update in Heart Valve Replacement

D. Horstkotte and F. Loogen (Eds.) Update in Heart Valve Replacement Proceedings of the Second European Symposium on the St. Jude Medical Heart Valve Springer-Verlag Berlin Heidelberg GmbH t

Dr. med. D. Horstkotte Prof. Dr. med. F. Loogen Department of Medicine B University of Dusseldorf MoorenstraBe 5 4000 Dusseldorf West Germany CIP-Kurztitelaufnahme der Deutschen Bibliothek Update in heart valve replacement : proceedings of the 2. Europ. Symposium on St. Jude Med. Heart Valve I D. Horstkotte and F. Loogen (ed.). ISBN 978-3-662-10715-7 ISBN 978-3-662-10713-3 (ebook) DOl 10.1007/978-3-662-10713-3 NE: Horstkotte, Dieter [Hrsg.]; European Symposium on the Saint Jude Medical Heart Valve (02, 1984, Dusseldorf) This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under 54 of the German Copyright Law, where copies are made for other than private use, a fee is payable to the publisher, the amount of the fee to be determined by agreement with the publisher. Copyright 1986 by Springer-Verlag Berlin Heidelberg Originally published by Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt in 1986 Sof'tcover reprint of the hardcover Ist edition 1986 Medical Editorial: Juliane K. Weller - Copy Editing: Cynthia Feast - Production: Heinz J. Schafer The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from relevant protective laws and regulations and therefore free for general use.

Contents Solved and Unsolved Problems in Heart Valve Replacement Lillehei, C. Walton...................... 1 The St. Jude Medical Prosthetic Heart Valve: Results from a Five-Year Multicenter Experience Lillehei, C. Walton.................................. 3 Choosing Between Mechanical and Tissue Valves for the Treatment of Valvular Heart Disease Horstkotte, D. and F. Rovelli............................. 19 Preferred Use of Allografts in the Treatment of Valvular Heart Disease Struck, E., H. Meisner, S. Hagl, S. Paek and F. Sebening......... 25 The Use of Mechanical Valves in the Treatment of Valvular Heart Disease D'Alessandro, L. c., C. Narducci, A. Pucci, G. Rabitti, B. Ragusa, P. Mamone and M. Benhar....................................... 31 The Choice Between Valve Preservation and Valve Replacement De Vega, N. G.... 37 The Limits of Central Hemodynamic Improvement by Heart Valve Replacement Horstkotte, D. andj. Delaye............................ 43 Can the Hemodynamics of Prosthetic Heart Valves be Evaluated Sufficiently by In Vitro Tests? Gottwik, M., S. Hartung, O. Epe, S. Langsdorf, J. Thormann and M. Schlepper... 47 Is the Late Outcome of Heart Valve Replacement Influenced by the Hemodynamics of the Heart Valve Substitute? Horstkotte, D., F. Loogen and W. Bircks....................... 55 When are Hemodynamics Important for the Selection of a Prosthetic Heart Valve? Champsaur, G., M. Gressier, J. Ninet, J. P. Frieh, M. Elkirat, P. Brule, A. Lomessy and J. Neidecker.................................... 71 Prosthetic Valve-related or Valve-induced Complications Horstkotte, D. and F. Loogen.... Non-invasive Follow-up of Prosthetic Heart Valves Sigwart, U. and L. Finci.............. Hemolysis Following Cardiac Valve Replacement Khayat, M. c., J. Piard, C. Zerr and A. Khayat.. 79 87 97 The Risk of Thromboembolism and Hemorrhage After Implantation of Heart Valve Prostheses Abbate, M., A. Lomeo, G. Battaglia, M. Gentile, L. Carli, V. Monaca, L. Patane and O. Monaco.................................... 105 V

Anticoagulation and Prosthetic Heart Valves Baudet, E.... 109 Valve Malfunction and Heart Valve Replacement in Patients at Risk Horstkotte, D. and F. Loogen.... 117 Incidence, Clinical Findings and Management of Prosthetic Valve Malfunction Karfer, R. and D. Horstkotte........................... 121 Valve Replacement in Children with Congenital Heart Disease Sainz, C. L.... 131 Valve Replacement in Infancy and Childhood Kersten, T. E., D. M. Nicoloff, K. V. Arom, W. G. Lindsay and W. F. Northrup. 139 VI