Ten year clinical evaluation of Starr-Edwards 2400 and 1260 aortic valve prostheses.

The long term performance characteristics of the 2400 and 1260 series of Starr-Edwards aortic prostheses were investigated by a follow up study of clinical outcome of 327 patients discharged from hospital with isolated aortic valve replacement. Follow up lasted for up to 10 years and was based on 1616 patient-years. The 2400 series cloth covered tracked valve was implanted in 182 patients from 1974 to 1980 and the 1260 series bare strut silastic ball valve was inserted in 145 patients from 1979 to 1983. Total 10 year mortality and valve related morbidity were low and no cases of mechanical valve failure were recorded. There were no significant actuarial differences in mortality or valve related morbidity between the 2400 and 1260 valves. Starr-Edwards models 2400 and 1260 aortic valve prostheses showed excellent durability without any mechanical failures over a 10 year period. The long term outcome of isolated aortic valve replacement with these models is associated with a low frequency of valve related complications.

[1]  R. S. Mitchell,et al.  Significant patient-related determinants of prosthetic valve performance. , 1986, The Journal of thoracic and cardiovascular surgery.

[2]  D. Cooley,et al.  Comparison of bioprosthetic and mechanical valve replacement for active endocarditis. , 1985, The Journal of thoracic and cardiovascular surgery.

[3]  A. Starr.  The Starr-Edwards valve. , 1985, Journal of the American College of Cardiology.

[4]  J. Fabiani,et al.  Comparative evaluation of aortic valve replacement with Starr, Björk, and porcine valve prostheses. , 1985, Circulation.

[5]  R. Rutledge,et al.  Actuarial analysis of the risk of prosthetic valve endocarditis in 1,598 patients with mechanical and bioprosthetic valves. , 1985, Archives of surgery.

[6]  R. S. Mitchell,et al.  Performance characteristics of the Starr-Edwards Model 1260 aortic valve prosthesis beyond ten years. , 1984, The Journal of thoracic and cardiovascular surgery.

[7]  C. Pinson,et al.  Thrombosis of mechanical cardiac valves: a qualitative comparison of the silastic ball valve and the tilting disc valve. , 1984, Journal of the American College of Cardiology.

[8]  C. Cobbs,et al.  Prosthetic valve endocarditis. , 1984, Circulation.

[9]  D. Magilligan,et al.  Fate of a second porcine bioprosthetic valve. , 1983, The Journal of thoracic and cardiovascular surgery.

[10]  E. Bodnar,et al.  Assessment and comparison of the performance of cardiac valves. , 1982, The Annals of thoracic surgery.

[11]  V. Fuster,et al.  Systemic thromboembolism in mitral and aortic Starr-Edwards prostheses: a 10-19 year follow-up. , 1982, Circulation.

[12]  L. Edmunds,et al.  Thromboembolic complications of current cardiac valvular prostheses. , 1982, The Annals of thoracic surgery.

[13]  P. J. Drury,et al.  Aortic valve replacement with Starr-Edwards valves over 14 years. , 1982, The Annals of thoracic surgery.

[14]  G. Grunkemeier,et al.  The ultimate prognosis after valve replacement: an assessment at twenty years. , 1981, The Annals of thoracic surgery.

[15]  V. Fuster,et al.  The natural history of idiopathic dilated cardiomyopathy. , 1981, The American journal of cardiology.

[16]  G. Grunkemeier,et al.  Year of operation as a risk factor in the late results of valve replacement. , 1980, The Journal of thoracic and cardiovascular surgery.

[17]  E. Stinson,et al.  Valve Replacement with the Starr‐Edwards and Hancock Prostheses: Comparative Analysis of Late Morbidity and Mortality , 1977, Annals of surgery.

[18]  E. Gehan.  A GENERALIZED WILCOXON TEST FOR COMPARING ARBITRARILY SINGLY-CENSORED SAMPLES. , 1965, Biometrika.

[19]  H. M. Marvin.  Diseases of the Heart and Blood Vessels: Nomenclature and Criteria for Diagnosis. , 1964 .