TY - JOUR
T1 - Mechanical prostheses for right ventricular outflow tract reconstruction: A systematic review and meta-analysis
AU - Dunne, B.
AU - Xiao, A.
AU - Litton, Ed
AU - Andrews, D.
PY - 2015
Y1 - 2015
N2 - © 2015 The Society of Thoracic Surgeons. It remains unclear as to whether mechanical valves have a role in pulmonary valve replacement. A systematic review and meta-analysis was performed to answer this question. Nineteen observational studies, including 299 pediatric and adult patients with a mean follow-up of 73 months, were analyzed. Nonstructural valve deterioration and valve thrombosis occurred in 1.5% and 2.2% of patients, respectively. Surgical reintervention was required in 0.9% of cases and thrombolysis was required in 0.5%. Mechanical valves in the pulmonary position are associated with a low incidence of valve deterioration and thrombosis, as well as freedom from reoperation and thrombolysis.
AB - © 2015 The Society of Thoracic Surgeons. It remains unclear as to whether mechanical valves have a role in pulmonary valve replacement. A systematic review and meta-analysis was performed to answer this question. Nineteen observational studies, including 299 pediatric and adult patients with a mean follow-up of 73 months, were analyzed. Nonstructural valve deterioration and valve thrombosis occurred in 1.5% and 2.2% of patients, respectively. Surgical reintervention was required in 0.9% of cases and thrombolysis was required in 0.5%. Mechanical valves in the pulmonary position are associated with a low incidence of valve deterioration and thrombosis, as well as freedom from reoperation and thrombolysis.
U2 - 10.1016/j.athoracsur.2014.11.058
DO - 10.1016/j.athoracsur.2014.11.058
M3 - Article
C2 - 25795296
SN - 0003-4975
VL - 99
SP - 1841
EP - 1847
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 5
ER -