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Indications for Heart Valve Replacement by Age Group (Paperback, Softcover reprint of the original 1st ed. 1989)
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Indications for Heart Valve Replacement by Age Group (Paperback, Softcover reprint of the original 1st ed. 1989)
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The papers presented at the Fifth International Symposium on Heart
Valves and published in this volume discuss clinical experience
with heart valve replacement in pediatric patients, in adults (age
65 and younger), and in the elderly (age 66 and older). Special
considerations in heart valve replacement, such as valve selection,
reoperation, results of double valve implantation, quality of life,
and the use of valved conduits are also included. Finally, long
term clinical follow-up with the ST. JUDE MEDICAL (R) heart valve,
giving 7- and 8-year data is discussed. HEART VALVE REPLACEMENT IN
PEDIATRIC PATIENTS Anticoagulation Anticoagulation in children is a
difficult and interesting problem. Three princi pal considerations
in the use of anticoagulants are patient education, timing, and
anticoagulating substance. Additional considerations are patient
tolerance and compliance. Generally, the findings indicate, if
pediatric patients receive anticoagulation following mechanical
valve replacement, it is well accepted and results in few
complications. If children are not anticoagulated, complications
arise. Conflicting results regarding the efficacy of PERSANTINE (R)
and the use of aspirin vs. COUMADIN (R) were reported. Doctor
Sade's data address some of these questions. * After a 5-year study
in * See J Thorac Cardiovasc Surgery 1988; 95:533-561.
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