Objective To study the long-term effects of mitral valve replacement with bioprostheses in rheumatic heart valve disease. Methods 166 patients with rheumatic heart valve disease underwent isolated mitral valve replace...Objective To study the long-term effects of mitral valve replacement with bioprostheses in rheumatic heart valve disease. Methods 166 patients with rheumatic heart valve disease underwent isolated mitral valve replacement from Jan. 1978 to Dec. 1985. 79 Patients were male and 87 female. Patients’ age ranged from 11 to 53 years [mean (29.4 ± 9.9) years]. The patients were classified into two groups: group 1 (age【 30 years) included 84 patients, group 2 (age≥30 years) 82 cases. Mean CTR is 0.68 *0.08. Most patients were in NYHA function class Ⅲ-Ⅳ. 76. 3% of patients had atrial fibrillation. 6 patients had pre-operative cerebral vascular accidents. Postoperative deaths were excluded. Follow-up extended from 0.4 year to 19.4 years. Results Actuarial estimate of survival rate at 14 years is (52.5 ± 7.0)%. Heart function was improved to class Ⅰ - Ⅱ in most of patients. Late structural valve deterioration occurred in 89 patients. Among them, 59 were re-operated. Actuarial estimate of freedom from展开更多
Porcine circovirus type 2(PCV2),which serves as a major causative agent of PCV2-associated diseases and causes severe loss to the pig industry worldwide,can dysregulate the immune response and induce immunosuppression...Porcine circovirus type 2(PCV2),which serves as a major causative agent of PCV2-associated diseases and causes severe loss to the pig industry worldwide,can dysregulate the immune response and induce immunosuppression in PCV2-infected pigs.Similar to PCV2(porcine circovirus type 3(PCV3),a newly identified swine circovirus which might be closely associated with porcine dermatitis and nephropathy syndrome,reproductive disorder,and multisystemic inflammatoty responses,also interferes with host immune defense.Interaction between host immune system and PCVs is considered to be a crucial determinant of pathogenicity in pigs.Here,we sought to briefly discuss the current knowledge regarding the interaction of porcine circovirus type 2 and/or 3 with host immune cells and immune responses to better depict the viral immunomodulatory capacity,pathogenic mechanisms,and the future research direction in host immune responses to infection with PCV2 and PCV3.展开更多
文摘Objective To study the long-term effects of mitral valve replacement with bioprostheses in rheumatic heart valve disease. Methods 166 patients with rheumatic heart valve disease underwent isolated mitral valve replacement from Jan. 1978 to Dec. 1985. 79 Patients were male and 87 female. Patients’ age ranged from 11 to 53 years [mean (29.4 ± 9.9) years]. The patients were classified into two groups: group 1 (age【 30 years) included 84 patients, group 2 (age≥30 years) 82 cases. Mean CTR is 0.68 *0.08. Most patients were in NYHA function class Ⅲ-Ⅳ. 76. 3% of patients had atrial fibrillation. 6 patients had pre-operative cerebral vascular accidents. Postoperative deaths were excluded. Follow-up extended from 0.4 year to 19.4 years. Results Actuarial estimate of survival rate at 14 years is (52.5 ± 7.0)%. Heart function was improved to class Ⅰ - Ⅱ in most of patients. Late structural valve deterioration occurred in 89 patients. Among them, 59 were re-operated. Actuarial estimate of freedom from
基金This study was supported by a grant from the Priority Academic Program Development of Jiangsu Higher Education Institutions(PAPD).
文摘Porcine circovirus type 2(PCV2),which serves as a major causative agent of PCV2-associated diseases and causes severe loss to the pig industry worldwide,can dysregulate the immune response and induce immunosuppression in PCV2-infected pigs.Similar to PCV2(porcine circovirus type 3(PCV3),a newly identified swine circovirus which might be closely associated with porcine dermatitis and nephropathy syndrome,reproductive disorder,and multisystemic inflammatoty responses,also interferes with host immune defense.Interaction between host immune system and PCVs is considered to be a crucial determinant of pathogenicity in pigs.Here,we sought to briefly discuss the current knowledge regarding the interaction of porcine circovirus type 2 and/or 3 with host immune cells and immune responses to better depict the viral immunomodulatory capacity,pathogenic mechanisms,and the future research direction in host immune responses to infection with PCV2 and PCV3.