Abstract
Despite numerous attempts, the perfect artificial heart valve has not yet been designed1. While there is a plethora of clinical and haemodynamic reports on various valve prostheses, scanty data have been published on the pathology of patients who die with prosthetic valves. Although more than 30 000 patients in the United States alone undergo this procedure each year, few studies have analysed the autopsy-determined causes of death in a large population of such patients2. Newer and better prosthetic valves are being continuously introduced3. The ultimate evaluation of a prosthesis can only be obtained from patients with implants. Identification of fatal complications following heart valve replacement is of the greatest importance in evolving means of lowering the postoperative mortality rate. Autopsy evaluation of a patient’s cause of death is more accurate than a solely clinical assessment4,5 since it gives substantial evidence as to whether or not the death was valve-related6.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Hwang, N. H. C., Nan, X. Z. and Gross, D. R. (1983). Prosthetic heart valve replacements. Crit. Rev. Biomed. Eng., 9, 99
Schoen, F. J., Titus, J. L. and Lawrie, G. M. (1983). Autopsy-determined causes of death after cardiac valve replacement. J. Am. Med. Assoc., 249, 899
Wada, J. and Kasagi, Y. (1983). A new mechanical valve: SJM. Int. Surg., 68, 117
Cameron, H. M. and McGoogan, E. (1981).A prospective study of 1152 hospital autopsies: I. Inaccuracies in death certification. J. Pathol., 133, 273
Cameron, H. M. and McGoogan, E. (1981). A prospective study of 1152 hospital autopsies: II. Analysis of inaccuracies in clinical diagnoses and their significance. J. Pathol., 133, 285
Nicoloff, D. M., Lindsay, W. G., Arom, K. V. et al. (1983). Four and a half years experience with the St Jude prosthesis. In DeBakey, M. E. (ed.) Advances in Cardiac Valves: Clinical Perspectives. pp. 25-32. (New York: Yorke Medical Books
Rose, A. G. (1986). Autopsy-determined causes of death following heart valve replacement. Am. J. Cardiovasc. Pathol., 1986 (In press
Roberts, W. C. and Hammer, W. J. (1976). Cardiac pathology after valve replacement with a tilting disc prosthesis (Bjork-Shiley type). A study of 46 necropsy patients and 49 Bjork-Shiley prostheses. Am. J. Cardiol., 37, 1024
Silver, M. D. and Wilson, G. J. (1983). Pathology of cardiovascular prostheses including coronary artery bypass and other vascular grafts. In Silver, M. D. (ed.) Cardiovascular Pathology. pp. 1225-1296. (New York: Churchill Livingstone
Roberts, W. C. and Morrow, A. G. (1967). Late postoperative pathological findings after cardiac valve replacement. Circulation, 35,36 (Suppl. 1), 1–48
Roberts, W. C. and Morrow, A. G. (1967). Causes of early postoperative death following cardiac valve replacement. Clinico-pathological correlations in 64 patients studied at necropsy. J. Thorac. Cardiovasc. Surg., 54, 422
Roberts, W. C. and Morrow, A. G. (1967). Topics in clinical medicine. Anatomic studies of hearts containing caged-ball prosthetic valves. Johns Hopkins Med. J., 121, 271
Starr, A., Herr, R. H. and Wood, J. A. (1967). Mitral replacement. Review of six years’ experience. J. Thorac. Cardiovasc. Surg., 54, 333
Herr, R. H., Starr, A., Pierie, W. R., Wood, J. A and Bigelow, J. C. (1968). Aortic valve replacement. A review of six years’ experience with the ball-valve prosthesis. Ann. Thorac. Surg., 6, 199
Starr, A. (1971). Mitral valve replacement with ball valve prostheses. Br. Heart J., 33 (Suppl.), 47
Colapinto, N. D. and Silver, M. D. (1971). Prosthetic heart valve replacement. Causes of early postoperative death. J. Thorac. Cardiovasc. Surg., 61, 938
Roberts, W. C., Bulkley, B. H. and Morrow, A. G. (1973). Pathologic anatomy of cardiac valve replacement: a study of 224 necropsy patients. Prog. Cardiovasc. Dis., 15, 539
Joassin, A. and Edwards, J. E. (1973). Causes of death within 30 days of mitral valvular replacement. Analysis of 93 cases. Cardiovasc. Clin., 5, 169
Joassin, A. and Edwards, J. E. (1973). Late causes of death after mitral valve replacement. Analysis of 36 cases. J. Thorac. Cardiovasc. Surg., 65, 255
Henze, A., Carlsson, S. and Bjork, V. O. (1973). Mortality and pathology following aortic valve replacement with the Bjork-Shiley tilting disc valve. Scand. J. Thorac. Cardiovasc. Surg., 7, 7
Fishbein, M. C., Roberts, W. C., Golden, A. and Hufnagel, C. A. (1975). Cardiac pathology after aortic valve replacement using Hufnagel trileaflet prostheses: a study of 20 necropsy patients. Am. Heart J., 89, 443
Fishbein, M. C. Gissen, S. A., Collins, J. J. Jr., Barsamian, E. M. and Cohn, L. H. (1977). Pathologic findings after cardiac valve replacement with glutaraldehyde-fixed porcine valves. Am. J. Cardiol., 40, 331
Bamhorst, D. A., Oxman, H. A., Connolly, D. C. et al. (1976). Isolated replacement of the mitral valve with the Starr-Edwards prosthesis. An eleven-year review. J. Thorac. Cardiovasc. Surg.. 71, 230
Lefrak, E. A. and Starr, A. (1979). Cardiac Valve Prostheses. pp. 38-63 (New York: AppletonCentury-Crofts
Holtzman, E., Schiby, G., Segal, P. and Priel, I. (1986). Malignant fibrous histiocytoma complicating mitral valve replacement. J. Am. Coll. Cardiol., 7, 956
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1987 MTP Press Limited
About this chapter
Cite this chapter
Rose, A.G. (1987). Autopsy-determined Causes of Death Following Heart Valve Replacement. In: Pathology of Heart Valve Replacement. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-3227-2_11
Download citation
DOI: https://doi.org/10.1007/978-94-009-3227-2_11
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-7948-8
Online ISBN: 978-94-009-3227-2
eBook Packages: Springer Book Archive