Artigo Acesso aberto Revisado por pares

Mechanical versus Biological Mitral Valve Replacement: 25 Years of Experience in Over 2,000 Patients

2019; Georg Thieme Verlag; Linguagem: Inglês

10.1055/s-0039-1678881

ISSN

1439-1902

Autores

Patricia A. Weber, M. Ereva, Christian Hartmann, M. Karck, Gábor Szabó,

Tópico(s)

Infective Endocarditis Diagnosis and Management

Resumo

Objectives: Heart valve disease is frequently treated by valve replacement with either mechanical or biological prosthesis. Despite limited evidence, the use of biological prosthesis is increasingly favored, and accordingly, the age limit for biological prosthesis is decreased in current guidelines. However, it has been shown recently that the use of biological prosthesis in mitral position is associated with higher mortality rates even in higher age cohorts. Therefore, the aim of the present study was to analyze the impact of the type of the prosthesis on mortality hazard in patients undergoing isolated primary mitral valve surgery.

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