Why the study?
Does surgical intervention improve outcomes in patients with prosthetic heart valve obstruction?
Population
136 consecutive patients with prosthetic heart valve obstruction (PHVO) mainly due to thrombosis
Design
Cohort
Follow-up
3.15 years
Authors
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Supports surgical consideration for prosthetic valve obstruction in stable patients; leaves open randomized comparisons to thrombolysis.
Does surgical intervention improve outcomes in patients with prosthetic heart valve obstruction?
Early surgical intervention for prosthetic heart valve obstruction is effective and safe, yielding an 89% success rate with acceptable early mortality, especially in hemodynamically stable patients.
R Roudaut (2003) studied this question.
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