In a propensity-matched analysis of the national database of Sweden, Glaser et al found that survival among patients aged 50-69 who underwent aortic valve replacement was significantly better in those receiving a mechanical versus biological valves. In a subgroup analysis this was evident in patients aged 50-59 but not in those aged 60-69. These results are crucial in the current era in which surgeons lower the age cut-off for implanting bioprosthetic valves.
You are here:
Mechanical valves improve survival in middle-aged patients
Submitted by: Stuart Head
Source: European Heart Journal
Source URL: http://www.ncbi.nlm.nih.gov/pubmed/26559386
Keywords:
Author(s): Glaser N, Jackson V, Holzmann MJ, Franco-Cereceda A, Sartipy U

1 Comment
Interesting to see 1in 10 relatively young patients receiving tissue valves whilst suffering from atrial fibrillation, I would expect their assumed need for long term anti coagulation to indicate a mechanical valve.