Two critical questions for patients needing heart valve replacement – due to aortic stenosis, mitral valve prolapse and/or regurgitation – are, “How long does a valve replacement last?” and “Will I need a reoperation?”
While there are many different answers to that question, here is some very interesting information specific to St. Jude Medical’s Biocor™ Stented Tissue Valve. According to St. Jude Medical, this pig valve replacement provided excellent long-term durability for the aortic valve in patients 65 years and older.
The study, which appears in the October issue of the cardiac journal The Annals of Thoracic Surgery, evaluated the 20-year durability of the Biocor porcine valve in the aortic position. According to the study, over the 20-year follow-up period, the Biocor valve was found to perform well on key measures of long-term performance including freedom from reoperation due to structural valve deterioration (the rate at which patients remain free from another operation related to degeneration that could affect the valve’s proper functioning).
The study found that the Biocor valve’s rate of freedom from reoperation for structural valve deterioration was 86.5 percent at 20 years compared to data reported for other tissue valves which have ranged from 52.9 to 67 percent (in 17 to 20 year follow-up studies).
The Biocor valve study, which was sponsored by St. Jude Medical, consecutively enrolled 455 patients who received a St. Jude Medical Biocor tissue valve to replace their aortic valve at the German Heart Center Munich from Jan. 1985 through Dec. 1996. Follow-up occurred between 2003 and 2006. Using standardized follow-up methods, researchers received responses to a questionnaire or reviewed the medical records of 99.6 percent of the enrolled patients. The study population included equal numbers of patients younger and older than its mean age of 72.5 years.
This is very encouraging news for St. Jude Medical, the valve manufacturer. I believe the results would be more encouraging if the study was run by an independent research center specific to this heart valve replacement. However, that said, the answer to the true or false question above is… False.
Keep on tickin!
