Turk Kardiyol Dern Ars. 2006; 34(4): 230-232
Evaluation of paravalvular leakage and embolic risks associated with St. Jude Silzone mechanical heart valves
, Tijen Alkan2
, Tufan Paker2
, Cihangir Ersoy2
, Atıf Akçevin2
, Vedat Bayer2
, Halil Türkoğlu2
, Aydın Aytaç21
Anadolu Sağlık Merkezi Kalp-Damar Cerrahisi Bölümü, Kocaeli2
VKV Amerikan Hastanesi Kalp-Damar Cerrahisi Bölümü, İstanbul
OBJECTIVES Paravalvular leakage and embolic events associated with St. Jude Silzone mechanical heart valves were retrospectively assessed.
STUDY DESIGN The study included 28 consecutive patients (17 males, 11 females; mean age 47±17 years; range 10 to 79 years) in whom St. Jude silzone-coated heart valves were implanted. Four patients received aortic, four patients received mitral, and 20 patients received both mitral and aortic valvular mechanical heart valves. Among those with aortic valve replacement, one patient underwent supracoronary graft implantation, one patient underwent coronary artery bypass grafting, and one patient underwent surgery due to tetralogy of Fallot and a previous Waterson shunt operation. Paravalvular leakage was assessed with transthoracic echocardiography in the third and sixth postoperative months, and major embolic events were clinically assessed in the early and late period. The mean follow-up was 70 months (range 64 to 89 months).
RESULTS Paravalvular leakage did not occur postoperatively, and mortality was not observed in the early postoperative period. No major embolic events were recorded in the early and late periods.
CONCLUSION Our results demonstrate that valvular replacement with St. Jude Silzone-coated mechanical heart valves does not contribute to early paravalvular leakage and major embolic events.
Aortic valve; cerebrovascular accident/etiology; endocarditis; heart valve prosthesis/adverse effects; mitral valve; postoperative complications; silver; thromboembolism/etiology.
How to cite this article
Ahmet Şaşmazel, Tijen Alkan, Tufan Paker, Cihangir Ersoy, Atıf Akçevin, Vedat Bayer, Halil Türkoğlu, Aydın Aytaç. Evaluation of paravalvular leakage and embolic risks associated with St. Jude Silzone mechanical heart valves. Turk Kardiyol Dern Ars. 2006; 34(4): 230-232
Corresponding Author: Ahmet Şaşmazel, Türkiye