Clinical and Hemodynamic Evaluation of the 19 mm Björk-Shiley Aortic Valve Prosthesis

Hartzell V. Schaff, A. Michael Borkon, Clifford Hughes, Stephen Achuff, James S. Donahoo, Timothy J. Gardner, Levi Watkins, Vincent L. Gott, Andrew G. Morrow, Robert K. Brawley

Research output: Contribution to journalArticle

36 Scopus citations

Abstract

Between November, 1973, and March, 1980, 43 patients underwent isolated aortic valve replacement with 19 mm Björk-Shiley prostheses at the Johns Hopkins Hospital. There were 4 male and 39 female patients ranging from 12 to 75 years old (mean, 54.5 years). Average weight was 62 ± 2 kg and average body surface area, 1.64 ± 0.3 m2. Five patients died within thirty days of operation; however, since 1975, hospital mortality has been 5.9%. The 38 survivors have been followed up for as long as 85 months (mean, 40 months). There were 4 late deaths, and actuarial survival in patients discharged from the hospital was 81% at five years. All long-term survivors were in New York Heart Association Functional Class I (29 patients) or Class II (5 patients). Preoperative and postoperative echocardiograms in 17 patients demonstrated significant decreases in mean left ventricular wall thickness (12.9 ± 1.8 mm vs 10.3 ± 1.4 mm; p < 0.001) and in left ventricular mass (262 ± 95 gm vs 188 ± 50 gm; p < 0.02). Postoperative cardiac catheterization data were obtained from an additional 24 patients undergoing aortic valve replacement with the 19 mm Björk-Shiley prosthesis at the National Heart Institute. Average peak systolic gradient at rest was 16 mm Hg (range, 0 to 45 mm Hg) and was found to be directly related to body surface area (r = 0.60, p < 0.002). Average effective valve orifice area was 1.06 cm2 (range, 0.63 to 2.02 cm2). For patients with small aortic roots, aortic valve replacement with the 19 mm Björk-Shiley valve is a satisfactory and, perhaps, preferable alternative to aortic annuloplasty to accommodate larger sized prostheses.

Original languageEnglish (US)
Pages (from-to)50-57
Number of pages8
JournalAnnals of Thoracic Surgery
Volume32
Issue number1
DOIs
StatePublished - 1981

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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    Schaff, H. V., Borkon, A. M., Hughes, C., Achuff, S., Donahoo, J. S., Gardner, T. J., Watkins, L., Gott, V. L., Morrow, A. G., & Brawley, R. K. (1981). Clinical and Hemodynamic Evaluation of the 19 mm Björk-Shiley Aortic Valve Prosthesis. Annals of Thoracic Surgery, 32(1), 50-57. https://doi.org/10.1016/S0003-4975(10)61373-2