• Journal of Chest Surgery
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• v.41 no.6
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• pp.695-702
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• 2008

Background: The choice between a bioprosthetic and a mechanical valve is an important decision in cardiac valve surgery, and the durability of the tissue valve is a major decision factor. We retrospectively evaluated the midterm results of bioprosthetic valve replacement in the mitral position. Material and Method: The subjects were all patients who had undergone mitral bioprosthesis replacement between July 1989 and August 200.7. Among the 216 patients, there were 236 surgical cases. The mean age was $63{\pm}15$ years, and the male to female ratio was 1 : 3. We retrospectively analyzed hospital and outpatient records such that the total follow-up duration amounted to 760.2 patient-years, and the mean follow-up duration was $41.9{\pm}40.7$ months (range $0{\sim}212$ months). Result: Early death occurred in 18 patients (8.3%), and 13 of these underwent concomitant cardiac procedures. The survival rate after 5 years was $79.9{\pm}3.5%$, and the survival rate after 8 years was $65.5{\pm}5.5%$, while freedom from structural valve deterioration (SVD) was $96.2{\pm}2.2%$ at 5 years and $85.9{\pm}5.3%$ at 8 years. Freedom from reoperation was $90.6{\pm}1.7%$ at 5 years and $90.4{\pm}4.2%$ at 8 years, while freedom from reoperation for SVD was $98.1{\pm}1.2%$ at 5 years and $92.3{\pm}4.1%$ at 8 years. On multivariate analysis of preoperative risk factors, small valve size (between 25mm and 27mm) was a significant risk factor for reoperation, and low LV ejection fraction (<40%) was a significant risk factor for SVD and mortality. Conclusion: Survival and freedom from reoperation for SVD in mitral bioprosthesis replacement had acceptable midterm results, but freedom from SVD Was relatively low. In particular, since SVD increased sharply at the eighth postoperative year, frequent follow-up and echocardiograms around that time will be helpful for the early detection of SVD. It will be necessary to conduct further studies involving long-term follow-up and more patients.

• Magazine of the Korean Society of Agricultural Engineers
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• v.15 no.2
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• pp.3018-3030
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• 1973

This study was carried out to investigate the effects of various mix designs of concrete on the compressive strengths and corrosive rates when the concretes were immersed in sea water of the West Sea, as the part of study related to durated to durability of concrete by action of the sea water. Concrete mix designs used in this study were ordinary Concrete mix, Concrete mixes with different admixtures such as fly ash, pozzolith and vinsol resin, and pozzolan concrete mix. The concrete specimens were made and cured for 7 days and 28 days in the fresh water in accordance with the Korean Standard specification for concrete. Compressive strengths of the specimens were measured after immersing the specimens for one year in fresh water and sea water which were placed indoors. The sea water used in this test was taken from the Bay of Ahsan. Corrosive rate was also tested after immersing the specimens in the same sea water and placed indoors for one year. The results obtained from the tests are summarized as follows; 1. Compressive strength of an ordinary concrete was the lowest of the various mix desings of concrete immersed both in the fresh water and the sea water. Therefore, the uses of pozzolan cement, fly ash, pozoolith and vinsol resin in mix design of concrete had and effect on increasing compressive strength. 2. Pozzolan concrete was the most effective on compressive strength in the fresh water, but it had less effect than concrete with fly ash admixture immersed in the sea water. 3. The use of fly ash admixture in mix design of concrete showed higher strength as the immersing age is longer both in fresh water and sea water than the other concretes besides pozzolan concrete, but the concretewith fly ash admixture had lower strength than pozzolan concrete in the sea water. Therefore, concrete with fly ash admixture might be better than the pozzolan concrete as far as durability of concrete to sea water was concerned. 4. The use of pozzolith admixture in mix design of concrete had less compressive strength than the use of pozzolan cement for fly ash admixture both in fresh water and sea water. However, the concrete with pozzolith admixture was much stronger than one with vinsol resin admixture in fresh water, but somewhat stronger in the sea water. 5. Though the use of vinsol resin admixture was more effective than ordinary concrete on compressive strength both in fresh water and sea water, it was the least compressive strength among the other concretes. 6. Relation between compressive strengths and absorption rates of every kind of concrete besides concrete with fly ash admixture showed a linear regression line and the compressive strength is highee as the absorption rate is lower. Concrete with fly ash admixture had extremely high strength in comparison with corresponding adsorption rates of the other concretes. 7. Corrosive appearance on the surface of concretes was not occured significantly when exposed to the sea water for one year, However, the specimens of concretes besides ordinary concrete were a little heavier than those cured in fresh water for 28 days.