Aortic valve replacement in young patients: long-term follow-up.

D. S. Moodie, U. Hanhan, R. Sterba, D. J. Murphy, E. R. Rosenkranz, A. M. Kovacs

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Thirty-four young patients (28 male and 6 female) underwent aortic valve replacement between 1972 and 1988. Ages ranged from 11 to 20 years (mean 17.7 years). Including reimplantation in the follow-up period, 40 valves were implanted, among which were 17 (43%) St. Jude, 7 (16%) Bjork-Shiley, and 4 (10%) Carpentier-Edwards. Seven patients (18%) had tissue valve prostheses (4 Carpentier-Edwards, 3 Hancock valves). There was one hospital death (2.9%). Follow-up was obtained in 30 of the 33 hospital survivors, with a mean follow-up of 80 months. In the follow-up period, one patient (3%) had a major thromboembolic event and one patient (3%) had prosthetic valve endocarditis. Six patients (18%) required replacement of the implanted valve; three of these had received Hancock tissue valve prostheses. There were three late deaths, yielding 96% survival at 5 years and 84% at 10 years. Twenty-three of 30 survivors are currently New York Heart Association class I. Aortic valve replacement in young patients can be performed with low mortality and morbidity, and with excellent long-term results.

Original languageEnglish (US)
Pages (from-to)473-478
Number of pages6
JournalCleveland Clinic journal of medicine
Issue number5
StatePublished - 1992
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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