PMID- 7967286 OWN - NLM STAT- MEDLINE DCOM- 19941221 LR - 20061115 IS - 0021-5252 (Print) IS - 0021-5252 (Linking) VI - 47 IP - 8 DP - 1994 Jul TI - [Redo valve replacement for primary tissue failure of bioprosthetic heart valve]. PG - 668-71 AB - We evaluated long-term results of valve replacement with bioprosthesis in 59 patients. Freedom from primary tissue failure and reoperation declined more than seven years after valve replacement. Seven patients underwent repeat operations because of primary tissue failure in our hospital. Their ages ranged from 32 to 54 years, two cases were male and five were female. At repeat operation, mechanical valve prosthesis were implanted to mitral position in all seven patients, tricuspid annuloplasty was added in five patients, and aortic valve replacement was added in one patients. The New York Heart Association (NYHA) functional classifications were grade II for 1 patient, III for 1, and IV for 5 preoperatively. Five patients had severe pulmonary hypertension preoperatively, and three of them were died after operation. The removed bioprostheses showed tears, perforations or calcifications of cusps and commissural detachments. FAU - Yoshimura, N AU - Yoshimura N AD - Department of Surgery, Division II, Kobe University School of Medicine, Japan. FAU - Ataka, K AU - Ataka K FAU - Okada, K AU - Okada K FAU - Ohta, T AU - Ohta T FAU - Yamashita, C AU - Yamashita C FAU - Okada, M AU - Okada M LA - jpn PT - English Abstract PT - Journal Article PL - Japan TA - Kyobu Geka JT - Kyobu geka. The Japanese journal of thoracic surgery JID - 0413533 SB - IM MH - Adolescent MH - Adult MH - Aged MH - *Bioprosthesis MH - Child MH - Child, Preschool MH - Female MH - Follow-Up Studies MH - Heart Valve Diseases/surgery MH - *Heart Valve Prosthesis MH - Humans MH - Male MH - Middle Aged MH - Prosthesis Failure MH - Reoperation MH - Time Factors EDAT- 1994/07/01 00:00 MHDA- 1994/07/01 00:01 CRDT- 1994/07/01 00:00 PHST- 1994/07/01 00:00 [pubmed] PHST- 1994/07/01 00:01 [medline] PHST- 1994/07/01 00:00 [entrez] PST - ppublish SO - Kyobu Geka. 1994 Jul;47(8):668-71.