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The Journal of Thoracic and Cardiovascular Surgery, Vol 70, 862-868, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
HA Wellons Jr, RS Strauch, SP Nolan and WH Muller Jr
During a five-year period the Kay-Shiley (K and T series) prosthesis was
used for 83 isolated mitral valve replacements. There were 14 early deaths,
for a 17.28 per cent mortality rate. Survival determined by the actuarial
method revealed a 6 year cumulative survival rate of 39.8 per cent.
Thromboembolism was a significant problem in this series, with 33 patients
experiencing a total of 55 embolic events. This represented a rate of 24.7
emboli per 1,000 patient months at risk. From our experience, it is
concluded that the Kay-Shiley prosthesis is associated with a high
incidence of thromboembolism and late death.
ARTICLES
Isolated mitral valve replacement with the Kay-Shiley disc. valve. Acturial analysis of the long term results
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