{"id":"https://openalex.org/W82323822","doi":null,"title":"Reoperation for aortic valve periprosthetic leakage: identification of patients at risk and results of operation.","display_name":"Reoperation for aortic valve periprosthetic leakage: identification of patients at risk and results of operation.","publication_year":1995,"publication_date":"1995-03-01","ids":{"openalex":"https://openalex.org/W82323822","mag":"82323822","pmid":"https://pubmed.ncbi.nlm.nih.gov/8556176"},"language":"en","primary_location":{"id":"pmid:8556176","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8556176","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of heart valve disease","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112794157","display_name":"D L Miller","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"D L Miller","raw_affiliation_strings":["Section of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Section of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002789537","display_name":"James J. Morris","orcid":"https://orcid.org/0009-0005-3321-9951","observed_orcids":["https://orcid.org/0009-0005-3321-9951"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J J Morris","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081777517","display_name":"Hartzell Vernon Schaff","orcid":"https://orcid.org/0000-0003-0994-027X","observed_orcids":["https://orcid.org/0000-0003-0994-027X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"H V Schaff","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077000585","display_name":"Charles J. Mullany","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"C J Mullany","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109142455","display_name":"Rick A. Nishimura","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"R A Nishimura","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5109801240","display_name":"TA Orszulak","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"T A Orszulak","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.304,"has_fulltext":false,"cited_by_count":101,"citation_normalized_percentile":{"value":0.58153731,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"4","issue":"2","first_page":"160","last_page":"5"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11551","display_name":"Infective Endocarditis Diagnosis and Management","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/periprosthetic-leakage","display_name":"periprosthetic leakage","score":0.8450000286102295},{"id":"https://openalex.org/keywords/aortic-valve-replacement","display_name":"aortic valve replacement","score":0.8460000157356262},{"id":"https://openalex.org/keywords/reoperation","display_name":"reoperation","score":0.7110000252723694},{"id":"https://openalex.org/keywords/paravalvular-leak","display_name":"paravalvular leak","score":0.7739999890327454},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.5979999899864197},{"id":"https://openalex.org/keywords/transthoracic-echocardiography","display_name":"transthoracic echocardiography","score":0.8889999985694885},{"id":"https://openalex.org/keywords/prosthetic-valve-endocarditis","display_name":"prosthetic valve endocarditis","score":0.7850000262260437},{"id":"https://openalex.org/keywords/survival-outcomes","display_name":"survival outcomes","score":0.48100000619888306}],"concepts":[{"id":"https://openalex.org/C2778120723","wikidata":"https://www.wikidata.org/wiki/Q16872681","display_name":"Periprosthetic","level":3,"score":0.986644983291626},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9602663516998291},{"id":"https://openalex.org/C2780378346","wikidata":"https://www.wikidata.org/wiki/Q1349983","display_name":"Leak","level":2,"score":0.6573876738548279},{"id":"https://openalex.org/C2776570981","wikidata":"https://www.wikidata.org/wiki/Q4413093","display_name":"Aortic valve replacement","level":3,"score":0.6286253929138184},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6260069608688354},{"id":"https://openalex.org/C2780714102","wikidata":"https://www.wikidata.org/wiki/Q616071","display_name":"Aortic valve","level":2,"score":0.572971522808075},{"id":"https://openalex.org/C2778715743","wikidata":"https://www.wikidata.org/wiki/Q181802","display_name":"Prosthesis","level":2,"score":0.5249089002609253},{"id":"https://openalex.org/C2780026749","wikidata":"https://www.wikidata.org/wiki/Q7912830","display_name":"Valve replacement","level":3,"score":0.46964094042778015},{"id":"https://openalex.org/C2777042071","wikidata":"https://www.wikidata.org/wiki/Q6509304","display_name":"Leakage (economics)","level":2,"score":0.4469505846500397},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.3978966176509857},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.38964974880218506},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.18902835249900818},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.06064796447753906},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C87717796","wikidata":"https://www.wikidata.org/wiki/Q146326","display_name":"Environmental engineering","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001021","descriptor_name":"Aortic Valve","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D001021","descriptor_name":"Aortic Valve","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006349","descriptor_name":"Heart Valve Diseases","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006350","descriptor_name":"Heart Valve Prosthesis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D011475","descriptor_name":"Prosthesis Failure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012086","descriptor_name":"Reoperation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015150","descriptor_name":"Echocardiography, Doppler","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:8556176","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8556176","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of heart valve disease","raw_type":"Journal Article"},{"id":"mag:82323822","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8556176","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W13407659","https://openalex.org/W2171746309","https://openalex.org/W7026786482","https://openalex.org/W1973085921","https://openalex.org/W2101344036","https://openalex.org/W2126595546","https://openalex.org/W2049077898","https://openalex.org/W2047592233","https://openalex.org/W2963441097","https://openalex.org/W4254194403"],"abstract_inverted_index":{"Periprosthetic":[0],"leakage":[1,28,97,182],"occurs":[2],"in":[3,108,193,203,228],"1":[4],"to":[5,26,98],"3.5%":[6],"of":[7,20,75,81,91],"patients":[8,45,56,67,94,132,161,171,178,195,238],"after":[9,86,151],"aortic":[10,59,87,102,152,188,240],"valve":[11,60,88,103,113,119,123,153,189,241],"replacement.":[12,89,154],"Antecedent":[13],"or":[14,116,121],"active":[15],"infection":[16],"increases":[17],"the":[18,130,198,204],"risk":[19],"perivalvular":[21,27,247],"leakage.":[22],"Other":[23],"factors":[24],"predisposing":[25],"have":[29],"not":[30],"been":[31],"clearly":[32],"identified.":[33],"To":[34],"determine":[35],"whether":[36],"clinical":[37,234],"and/or":[38],"early":[39,138,157],"transthoracic":[40,140],"echocardiographic":[41],"features":[42,235],"can":[43],"identify":[44],"who":[46,57,243],"require":[47],"reoperation":[48],"for":[49,73],"periprosthetic":[50,76,96,134,165,181,199],"leakage,":[51,77],"we":[52],"reviewed":[53],"1,743":[54],"consecutive":[55],"underwent":[58],"replacement":[61,104,242],"from":[62],"1983":[63],"through":[64],"1991.":[65],"Thirty":[66],"(1.7%)":[68],"subsequently":[69],"required":[70],"repeat":[71],"operation":[72],"correction":[74],"at":[78,142],"a":[79,143],"median":[80,144],"18.0":[82],"months":[83,146],"(range":[84,147],"0.5-81.0)":[85],"Comparison":[90],"these":[92],"30":[93,131],"with":[95,133],"those":[99],"undergoing":[100,239],"primary":[101],"showed":[105],"no":[106,164,233],"differences":[107],"patient":[109],"age,":[110],"gender,":[111],"native":[112],"disease":[114],"type":[115],"etiology,":[117],"prosthetic":[118,122],"type,":[120],"size":[124],"(all":[125],"p":[126],"=":[127],"NS).":[128],"Of":[129],"leaks,":[135,174],"20":[136],"had":[137,163,172,179],"postoperative":[139,158],"echocardiography,":[141],"5.3":[145],"0.3":[148],"-":[149],"40.0)":[150],"In":[155],"this":[156,229],"study,":[159,230],"14":[160],"(70.0%)":[162],"leak":[166,200],"detectable":[167],"by":[168,183],"echocardiography;":[169],"two":[170],"trivial":[173],"and":[175,197,209,218],"only":[176],"four":[177,206],"significant":[180],"echocardiography.":[184],"During":[185],"subsequent":[186],"operation,":[187],"re-replacement":[190],"was":[191,201],"performed":[192],"26":[194],"(86.7%),":[196],"repaired":[202],"remaining":[205],"patients.":[207],"Thirty-day":[208],"5-year":[210],"survival":[211],"probabilities":[212],"were":[213,232],"0.90":[214],"(70%":[215,220],"CI,":[216,221],"0.84-0.96)":[217],"0.73":[219],"0.65-0.82),":[222],"respectively.":[223],"It":[224],"is":[225],"concluded":[226],"that":[227,236],"there":[231],"distinguished":[237],"later":[244],"developed":[245],"severe":[246],"leakage.(ABSTRACT":[248],"TRUNCATED":[249],"AT":[250],"250":[251],"WORDS)":[252]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":6},{"year":2017,"cited_by_count":9},{"year":2016,"cited_by_count":8},{"year":2015,"cited_by_count":5},{"year":2014,"cited_by_count":14},{"year":2013,"cited_by_count":6},{"year":2012,"cited_by_count":5}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}