Abstract
Over the past 6 years surgeons at the Texas Heart Institute have implanted the IONESCU-SHILEY® bovine pericardial valve and the ST. JUDE MEDICAL® mechanical heart valve. Between July 1978 and September 1983, 2680 patients had valve replacement with the IONESCU-SHILEY® valve with a mean follow-up of 24.6 months and a maximum follow-up of 73.8 months. Between November 1978 and October 1983, 615 patients underwent valve replacement with the ST. JUDE MEDICAL valve with a mean follow-up of less than 10 months and a maximum of 60 months. Both prostheses are suitable choices for a valve substitute. Each has a low profile, can be implanted easily, has favorable hemodynamic characteristics and a low incidence of thromboembolism. While the incidence of failure of the IONESCU-SHILEY bioprosthesis is still low to 5 years, we are concerned that this incidence may increase with longer follow-up. In our experience with ST. JUDE MEDICAL valves, structural failure has not occurred up to 5 years after implantation. We currently favor using the ST. JUDE MEDICAL valve in all patients requiring valve replacement except in those who cannot take warfarin anticoagulation.
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© 1985 Martinus Nijhoff Publishing, Boston
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Duncan, J.M. et al. (1985). Experience with the ST. JUDE MEDICAL® Valve and the IONESCU-SHILEY® Bovine Pericardial Valve at the Texas Heart Institute. In: Matloff, J.M. (eds) Cardiac Valve Replacement. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2601-4_29
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DOI: https://doi.org/10.1007/978-1-4613-2601-4_29
Publisher Name: Springer, Boston, MA
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