20-Year durability of bioprostheses in the aortic position

  • W. R. Eric Jamieson


Bioprostheses have become the predominant diseased aortic valve substitute for aortic valve replacement. The experience of the Society of Thoracic Surgeons was published in 2009 by Brown and colleagues [1] documenting that the use of bioprostheses increased from 42% in 1996 to 78.4% in 2006. The mechanical prostheses use declined to 20.5%. The use of bioprostheses for aortic valve replacement has increased in Western Europe but not to the same extent. The current contemporary bioprostheses utilized world-wide were, in some cases, delayed by regulatory market approval in the United States. There is considerate opinion in the United States that current bioprostheses have the opportunity for advanced durability. Patients have had a renewed concern of anticoagulation management and complications. The knowledge of durability of the contemporary bioprostheses is of extreme importance in determining the risk of reoperation for SVD.


Aortic Valve Replacement Jude Medical Mechanical Prosthesis Aortic Position Aortic Porcine 
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  1. 1.
    Brown JM, O’Brien SM, Wu C, Sikora JA, Griffith BP, Gammie JS (2009) Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: changes in risks, valve types, and outcomes in the Society of Thoracic Surgeons National Database. J Thorac Cardiovasc Surg 137(1):82–90CrossRefPubMedGoogle Scholar
  2. 2.
    Jamieson WRE, Burr LH, Miyagishima RT, Germann E, Macnab JS, Stanford E et al (2005) Carpentier-Edwards supra-annular aortic porcine bioprosthesis: Clinical performance over 20 years. J Thorac Cardiovasc Surg 130(4):994–1000CrossRefPubMedGoogle Scholar
  3. 3.
    Borger MA, Ivanov J, Armstrong S, Christie-Hrybinsky D, Feindel CM, David TE (2006) Twentyyear results of the Hancock II bioprosthesis. J Heart Valve Dis 15(1):49–55, discussion 55–56PubMedGoogle Scholar
  4. 4.
    Eichinger WB, Hettich IM, Ruzicka DJ, Holper K, Schricker C, Bleiziffer S, Lange R (2008) Twenty-year experience with the St. Jude medical Biocor bioprosthesis in the aortic position. Ann Thorac Surg 86(4):1204–1210CrossRefPubMedGoogle Scholar
  5. 5.
    Myken PS, Bech-Hansen O (2009) A 20-year experience of 1712 patients with the Biocor porcine bioprosthesis. J Thorac Cardiovasc Surg 137(1):76–81CrossRefPubMedGoogle Scholar
  6. 6.
    Aupart MR, Mirza A, Meurisse YA, Sirinelli AL, Neville PH, Marchand MA (2006) Perimount pericardial bioprosthesis for aortic calcified stenosis: 18-year experience with 1133 patients. J Heart Valve Dis 15(6):768, 775, discussion 775–776PubMedGoogle Scholar
  7. 7.
    Edwards Lifesciences LLC (2003) Carpentier-Edwards PERIMOUNT aortic pericardial bioprosthesis: 20-year results. Clinical Communique, Edwards LifesciencesGoogle Scholar
  8. 8.
    Prasongsukarn K, Jamieson WRE, Lichtenstein SV (2005) Performance of bioprostheses and mechanical prostheses in age group 61–70 years. J Heart Valve Dis 14(4):501–508, 510–511, discussion 509PubMedGoogle Scholar
  9. 9.
    Jamieson WRE, Germann E, Aupart MR, Neville PH, Marchand MA, Fradet GJ (2006) 15-year comparison of supra-annular porcine and PERIMOUNT aortic bioprostheses. Asian Cardiovasc Thorac Ann 14(3):200–205PubMedGoogle Scholar
  10. 10.
    Jamieson WRE, Koerfer R, Yankah CA, Zittermann A, Hayden RI, Ling H, Hetzer R, Dolman WB (2009) Mitroflow aortic pericardial bioprosthesis — clinical performance. Eur J Cardio-Thorac Surg (in press)Google Scholar
  11. 11.
    Yankah CA, Pasic M, Musci M, Stein J, Detschades C, Siniawski H, Hetzer R (2008) Aortic valve replacement with the Mitroflow pericardial bioprosthesis: durability results up to 21 years. J Thorac Cardiovasc Surg 136(3):688–696CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  • W. R. Eric Jamieson
    • 1
  1. 1.3500 Jim Pattison PavilionVancouver General HospitalVancouverCanada

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