In this trial of 310 patients aged 55-70, they were randomized to bioprosthetic or mechanical aortic valve replacement. There were no significant differences between the groups in peri-operative or long-term mortality, thromboembolism, bleeding, endocarditis, or major adverse prosthetic related events. The bioprosthetic group had higher rates of valve failure/re-operations (2.3% vs 0.6% per patient year), but the mechanical group had non-significantly higher rates of bleeding. The type of aortic valve choice depends on which risk is more tolerable: re-operation or bleeding (abstract)
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December 22, 2009 |
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About the Author: Danielle Scheurer
Danielle Scheurer, MD, MSCR, SFHM is a clinical hospitalist and the Chief Quality Officer at the Medical University of South Carolina in Charleston, South Carolina, where she also serves as Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She is also the President of SHM's Board of Directors and previously served as Physician Editor of The Hospitalist, SHM's monthly newsmagazine.
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