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Correspondence
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Volume 329:1278 October 21, 1993 Number 17
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Outcomes after Heart-Valve Replacement

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 by Hammermeister, K. E.
To the Editor: In their comparison of outcomes in men 11 years after heart-valve replacement with a mechanical valve or bioprosthesis, Hammermeister et al. (May 6 issue)1 found a mortality rate of approximately 25 percent among patients requiring reoperation. The mortality rate reported for the Edinburgh Heart Valve Trial2 (30 percent) is incorrect; the rate was in fact 19 percent. In recent years the mortality rate has improved at our institution3. The overall figure for the United Kingdom in 1989 was 12.9 percent.

We believe that the risk of death at reoperation after heart-valve replacement and the increased morbidity . . . [Full Text of this Article]

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