Skip to main content
SpringerLink
Log in

Prosthetic Cardiac Valves — A Comparison of the Four Basic Designs

  • Conference paper
Rheumatic Valvular Disease in Children

  • 83 Accesses

Abstract

Since the first cardiac valve prosthesis was implanted in the normal anatomic position in 1960 (1), many different varieties of prostheses have been developed. In spite of the large number of types of prostheses used, none has been ideal to date. This report discusses the relative advantages and disadvantages of the various cardiac valve prostheses available today and the factors that should be taken into account in the selection of a prosthesis for a particular patient (2).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Starr A, Edwards ML (1971) Mitral replacement: clinical experience with a ball-valve prosthesis. Ann Surg 154:726

    Article  Google Scholar 

  2. Roberts WC (1976) Choosing a substitute cardiac valve: type, size, surgeon. Am J Cardiol 38:633

    Article  PubMed  CAS  Google Scholar 

  3. Hufnagel CA, Harvey WP (1953) The surgical correction of aortic regurgitation. Preliminary Report. Bull Georgetown Univ Med Center 6:60

    CAS  Google Scholar 

  4. Hufnagel CA, Harvey WP, Rabil PJ, McDermott TF (1954) Surgical correction of aortic insufficiency. Surgery 35:673

    PubMed  CAS  Google Scholar 

  5. Harken DE, Soroff HS, Taylor WJ, Lefemine AA, Gupta SK, Lunzer S (1960) Partial and complete prostheses in aortic insufficiency. J Thorac Cardiovasc Surg 40:744

    PubMed  CAS  Google Scholar 

  6. Harken DE, Taylor WJ, Lefemine AA, Lunzer S, Low HBC, Cohen ML,Jacobey JA (1962) Aortic valve replacement with a caged ball valve. Am J Cardiol 9:292

    Article  PubMed  CAS  Google Scholar 

  7. Reis RL, Glancy DL, O’Brien K, Epstein SE, Morrow AG (1970) Clinical and hemodynamic assessments of fabric-covered Starr-Edwards prosthetic valves. J Thorac Cardiovasc Surg 59:84, 104

    PubMed  CAS  Google Scholar 

  8. Winter TO, Reis RL, Glancy DL, Roberts WC, Epstein SE, Morrow AG (1972) Current status of the Starr-Edwards cloth-covered prosthetic cardiac valves. Circulation (Suppl) 45/46:1–14

    Google Scholar 

  9. Levine FH, Copeland JG, Morrow AG (1973) Prosthetic replacement of the mitral valve. Continuing assessments of the 100 patients operated upon during 1961-1965. Circulation 47:518

    PubMed  CAS  Google Scholar 

  10. Bonchek LI, Starr A (1975) Ball valve prostheses: current appraisal of late results. Am J Cardiol 35:843

    Article  PubMed  CAS  Google Scholar 

  11. Smithwick W, Kouchoukos NT, Karp RB, Pacifico AD, Kirklin JW (1975) Late stenosis of Starr-Edwards cloth-covered prostheses. Ann Thorac Surg 20:249

    Article  PubMed  Google Scholar 

  12. Roberts WC, Morrow AG (1966) Renal hemosiderosis in patients with prosthetic aortic valves. Circulation 36:390

    Google Scholar 

  13. Roberts WC, Morrow AG (1972) Causes of death and other anatomic observations after cardiac valve replacement. Adv Cardiol 7:226

    Google Scholar 

  14. Roberts WC, Morrow AG (1967) Late postoperative pathological findings after cardiac valve replacement. Circulation (Suppl) 35/36:1-48

    Google Scholar 

  15. Roberts WC, Morrow AG (1967) Anatomic studies of hearts containing caged-ball prosthetic valves. Johns Hopkins Med J 121:271

    PubMed  CAS  Google Scholar 

  16. Roberts WC, Morrow AG (1968) Fatal degeneration of the silicone rubber ball of the Starr-Edwards prosthetic aortic valve. Am J Cardiol 22:614

    Article  PubMed  CAS  Google Scholar 

  17. Roberts WC, Morrow AG (1969) Late postoperative pathologic findings following cardiac valve replacement with Starr-Edwards prostheses. In: Proceedings of the Second National Conference of Prosthetic Heart Valves. Thomas, Springfield, Illinois, p 365

    Google Scholar 

  18. Roberts WC, Levinson GE, Morrow AG (1970) Lethal ball variance in the Starr-Edwards prosthetic mitral valve. Arch Intern Med 126:517

    Article  PubMed  CAS  Google Scholar 

  19. Roberts WC, Bulkley BH, Morrow AG (1973) Pathologic anatomy of cardiac valve replacement: a study of 224 necropsy patients. Prog Cardiovasc Dis 15:539

    Article  PubMed  CAS  Google Scholar 

  20. Pluth JR, Broadbent JC, Barnhorst DA, Danielson GK (1975) Aortic and mitral valve replacement with cloth-covered Braunwald-Cutter prosthesis. A three-year follow up. Ann Thorac Surg 20:239

    Article  PubMed  CAS  Google Scholar 

  21. Roberts WC, Morrow AG (1966) Mechanism of acute left arterial thrombosis after mitral valve replacement. Pathologic findings indicating obstruction to left atrial emptying. Am J Cardiol 18:497

    Article  PubMed  CAS  Google Scholar 

  22. Roberts WC, Lambird PA, Gott VL, Morrow AG (1966) Fatal aortic regurgitation following replacement of the mitral and aortic valves. A mechanical complication of double valve replacement. J Thorac Cardiovasc Surg 52:189

    PubMed  CAS  Google Scholar 

  23. Roberts WC, Morrow AG (1967) Causes of early postoperative death following cardiac valve replacement. Clinico-pathologic correlations in 64 patients studied at necropsy. J Thorac Cardiovasc Surg 54:422

    PubMed  CAS  Google Scholar 

  24. Seningen RP, Bulkley BH, Roberts WC (1974) Prosthetic aortic stenosis. A method to prevent its occurrence by measurement of aortic size from preoperative aortogram. Circulation 49:921

    PubMed  CAS  Google Scholar 

  25. Baxter RH, Bain WH, Rankin RJ, Turner MA, Escarous AE, Thomson RM, Lorimer AR, Lawrie DV (1975) Tricuspid valve replacement: a five-year appraisal. Thorax 30:158

    Article  PubMed  CAS  Google Scholar 

  26. Horsley HT, Rappoport, WJ, Vigoda PS. Vogel JHK (1970) Fatal malfunction of Edwards low-profile mitral valves. Circulation (Suppl) 41/42:11–39

    Google Scholar 

  27. Gunstensen J (1971) Acute dysfunction of Starr-Edwards mitral prostheses. Thorax 26:163

    Article  PubMed  CAS  Google Scholar 

  28. Olin C (1970) Evaluation of the Kay-Shiley disc valve prosthesis in the aortic position. Clinical and haemodynamic results, and experimental comparison with other prosthetic aortic valves. Scand J Thorac Cardiovasc Surg (Suppl) 7:1

    CAS  Google Scholar 

  29. Shepherd RL, Glancy DL, Reis RL, Epstein SE, Morrow AG (1973) Hemodynamic function of the Kay-Shiley prosthetic cardiac valve. Observations after mitral or tricuspid valve replacement. Chest 63:323

    Article  PubMed  CAS  Google Scholar 

  30. Roberts WC, Fishbein MC, Golden A (1975) Cardiac pathology after valve replacement by disc prosthesis. A study of 61 necropsy patients. Am J Cardiol 35:740

    Article  PubMed  CAS  Google Scholar 

  31. Fernandez J, Morse D, Spagna P, Lemole G, Gooch A, Yang SS, Maranhao V (1976) Results of mitral valve replacement with the Beall prosthesis in 209 patients. J Thorac Cardiovasc Surg 71:218

    Google Scholar 

  32. Hammer WJ, Hearne MJ, Roberts WC (1976) Cocking of a poppet disc prosthesis in the aortic position. A cause of intermittent aortic regurgitation. J Thorac Cardiovasc Surg 71:259

    PubMed  CAS  Google Scholar 

  33. Beall AC Jr, Morris GC Jr, Howell JF Jr, Guinn GA, Noon GP, Reul GJ Jr, Greenberg JJ, Ankeney JL (1973) Clinical experience with an improved mitral valve prosthesis. Ann Thorac Surg 15:601

    Article  PubMed  Google Scholar 

  34. Nathan MJ (1973) Strut fracture. A late complication of Beall mitral valve replacement. Ann Thorac Surg 16:610

    Article  PubMed  CAS  Google Scholar 

  35. Cooley DA, Sandiford FM, Wukasch DC, Reul GJ (1975) Mitral valve replacement with a new prosthesis. Experience with 366 patients. J Cardiovasc Surg Spec. No: 378

    Google Scholar 

  36. Böök K (1974) Mitral valve replacement with the Björk-Shiley tilting disc valve. A clinical and haemodynamic study in patients with isolated mitral valve lesions. Scand J Thorac Cardiovasc Surg (Suppl) 12:1

    Google Scholar 

  37. Björk VO, Henze A, Holmgren A (1974) Five years’ experience with the Björk-Shiley tilting disc valve in isolated aortic valvular disease. J Thorac Cardiovasc Surg 68:393

    PubMed  Google Scholar 

  38. Roberts WC, Hammer WJ (1976) Cardiac pathology after valve replacement with a tilting disc prosthesis (Björk-Shiley type): A study of 46 necropsy patients and 49 Björk-Shiley prostheses. Am J Cardiol 37:1024

    Article  PubMed  CAS  Google Scholar 

  39. Ben-Zvi J, Hildner FJ, Chandraratna PA, Samet P (1974) Thrombosis on Björk-Shiley aortic valve prosthesis. Clinical arteriographic, echocardiographic and therapeutic observations in seven cases. Am J Cardiol 34:538

    Article  PubMed  CAS  Google Scholar 

  40. Björk VO, Böök K, Holmgren A (1974) The Björk-Shiley mitral valve prosthesis. A comparative study with different prosthesis orientations. Ann Thorac Surg 18:379

    Article  PubMed  Google Scholar 

  41. Ross DN (1962) Homograft replacement of the aortic valve. Lancet 11:487

    Article  Google Scholar 

  42. Barratt-Boyes BG, Lowe JB, Cole DS, Kelly DT(1965) Homograft valve replacement for aortic valve disease. Thorax 20:495

    Article  PubMed  CAS  Google Scholar 

  43. Angell WW, Shumway NE, Kosek JC (1972) A five-year study of viable aortic valve homo-grafts. J Thorac Cardiovasc Surg 64:329

    PubMed  CAS  Google Scholar 

  44. Moore CH, Martelli V, Al-Janabi N, Ross DN (1975) Analysis of homograft valve failure in 311 patients followed up to 10 years. Ann Thorac Surg 20:274

    Article  PubMed  CAS  Google Scholar 

  45. Yarbrough JW, Roberts WC, Reis RL (1973) Structural alterations in tissue cardiac valves implanted in patients and in calves. J Thorac Cardiovasc Surg 65:364

    PubMed  CAS  Google Scholar 

  46. Ionescu UI, Pakrashi BC, Mary DAS, Bartek IT, Wooler GH (1974) Replacement of heart valves with frame-mounted tissue grafts. Thorax 29:56

    Article  PubMed  CAS  Google Scholar 

  47. Nuno-Conceicao A, Puig LB, Verginelli G, Iryia K, Bittencourt D, Zerbini EJ, (1975) Homologous dura mater cardiac valves. Structural aspects of eight implanted valves. J Thorac Cardiovasc Surg 70:499

    Google Scholar 

  48. Mary DAS, Pakrashi, BC, Catchpole RW, Ionescu MI (1975) Tissue valves in the mitral position. Five years experience. Br Heart J 37:1123

    Article  PubMed  CAS  Google Scholar 

  49. Olsen EGJ, Al-Janabi N, Salamao CS, Ross DN (1975) Fascia lata valves: a clinicopathological study. Thorax 30:528

    Article  PubMed  CAS  Google Scholar 

  50. Horowitz MS, Goodman DJ, Fogarty TJ, Harrison DC (1974) Mitral valve replacement with the glutaraldehyde-preserved porcine heterograft. Clinical, hemodynamic, and pathological correlations J Thorac Cardiovasc Surg 67:885

    CAS  Google Scholar 

  51. Mcintosh CL, Michaelis LL, Morrow AG, Itscoitz SB, Redwood DR, Epstein SE (1975) Atrioventricular valve replacement with the Hancock porcine xenograft: a five year clinical experience. Surgery 78:768

    PubMed  CAS  Google Scholar 

  52. Pipkin RD, Buch WS, Fogarty TJ (1976) Evaluation of aortic valve replacement with a porcine xenograft without long-term anticoagulation. J Thorac Cardiovasc Surg 71:179

    PubMed  CAS  Google Scholar 

  53. Zuhdi N, Hawley W, Voehl V, Hancock W, Carey J, Greer A (1974) Porcine aortic valves as replacement for human heart valves. Ann Thorac Surg 17:479

    Article  PubMed  CAS  Google Scholar 

  54. Johnson AD, Daily PO, Peterson KL, LeWinter M, DiDonna GT, Blair G, Niwayama G (1975) Functional evaluation of the porcine heterograft in the mitral position. Circulation (Suppl) 50/51:1-40

    Google Scholar 

  55. Reis RL, Hancock WD, Yarbrough JW. Glancy DL, Morrow AG (1971) The flexible stent. A new concept in the fabrication of tissue heart valve prostheses. J Thorac Cardiovasc Surg 62:683

    PubMed  CAS  Google Scholar 

  56. Spray TL, Roberts WC (1977) Structural changes in porcine xenografts used as substitute cardiac valves. Gross and histologic observations in 5 lglutaraldehyde-preserved Hancock valves in 41 patients. Am J Cardiol 40:319

    Article  PubMed  CAS  Google Scholar 

  57. Rhoades GR, Mcintosh CL (1977) Evaluation of hemolysis folowing replacement of atrioventricular valves with porcine xenograft (Hancock) valves. J Thorac Cardiovasc Surg 73:312

    Google Scholar 

  58. Roberts WC, Perloff JK, Constantino T (1971) Severe valvular aortic stenosis in patients over 65 years of age. A clinicopathologic study. Am J Cardiol 27:497

    Article  PubMed  CAS  Google Scholar 

  59. Roberts WC, Perloff JK (1972) Mitral valvular disease. A clinicopathologic survey of the conditions causing the mitral valve to function abnormally, Ann Intern Med 77:939

    CAS  Google Scholar 

  60. Roberts WC, Dangel JC, Bulkey BH (1973) Nonrheumatic valvular cardiac disease: a clinicopathologic survey of 27 different conditions causing valvular dysfunction. Cardiovasc Clin 5:333

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. W. C. Roberts
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. T. L. Spray
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Cardiothoracic Surgery, Hadassah University Hospital and Hebrew University-Hadassah Medical School, Jerusalem, Israel

    Joseph B. Borman M.B., B. Ch. (Wits), F.R.C.S. (Eng), FA.C.S., F.A.C.C. (Professor of Surgery, Head) (Professor of Surgery, Head)

  2. Department of Cardiology, Hadassah University Hospital and Hebrew University-Hadassah Medical School, Jerusalem, Israel

    Mervyn S. Gotsman M.D., F.R.C.P., F.R.C.P. (G), F.A.C.C (Professor of Medicine, Head) (Professor of Medicine, Head)

Rights and permissions

Reprints and permissions

Copyright information

© 1980 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Roberts, W.C., Spray, T.L. (1980). Prosthetic Cardiac Valves — A Comparison of the Four Basic Designs. In: Borman, J.B., Gotsman, M.S. (eds) Rheumatic Valvular Disease in Children. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-95371-2_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-95371-2_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-10079-9

  • Online ISBN: 978-3-642-95371-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation