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  • Björk-Shiley integral monostrut valve  (1)
  • C-reactive protein  (1)
  • 1
    ISSN: 1436-2813
    Keywords: Key Words: median sternotomy ; C-reactive protein ; minimally invasive direct coronary artery bypass
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: vs 66 ± 8 years old, the operative time, being 321 ± 149 vs 441 ± 205 min, the number of grafts, being 1.0 vs 1.4/patient, peak creatine kinase (CK) values, being 662 ± 436 vs 609 ± 56 IU/l, the peak CK-muscle-brain values, being 12 ± 9 vs 16 ± 5 IU/l, and the postoperative blood loss, being 369 ± 198 vs 541 ± 204 ml. Although there was no significant difference in peak C-reactive protein, at 17 ± 5 vs 20 ± 2 mg/dl, the periods declining within the normal ranges were shorter in the MIDCAB group than in the off-pump group, at 7 ± 1 vs 15 ± 2 days (P 〉 0.01). The hospital stay was almost the same in both groups, at 16 ± 8 vs 26 ± 14 days. These findings suggest that off-pump bypass is more invasive than MIDCAB, which may be attributed to the median sternotomy.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1615-2573
    Keywords: Björk-Shiley integral monostrut valve
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We evaluated preliminary results of valve replacement with a new Björk-Shiley valve prosthesis with integral monostrut. Sixty-five valves were implanted in 56 patients (18 aortic, 30 mitral, 7 double, 1 triple). The age of the patients ranged from 30 to 62 years, and they were followed up for 7–17 months (mean, 12.5 months). There were three operative deaths (5.3%) not related to the prosthesis and no late deaths. Minor cerebral thromboembolism occurred in one patient 2 weeks after surgery despite anticoagulant therapy. Intraoperative transvalvular pressure gradients across the 23-mm aortic and 27-mm mitral valve prostheses were insignificant. Real-time two-dimensional echocardiography revealed no regurgitation at the moment of valve closure in 20 randomly selected patients. Though the data accumulated so far are still relatively incomplete and the follow-up periods short, the clinical results obtained here were satisfactory, warranting further use of this new Björk-Shiley valve prosthesis with integral monostrut for longer follow-up studies.
    Type of Medium: Electronic Resource
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