Abstract
From its experimental beginnings in the 1960’s until today, there have been hundreds of thousands of valve replacements throughout the world. We at Broussais Hospital in Paris have operated on more than 10,000 since 1962. However, in spite of tremendous advances, we are still looking for the perfect valve as each of the existing valves has its own advantages and short-comings. The mechanical valves are long lived and mechanically solid, but they expose the patient to thrombo-embolic accidents. The bioprostheses generally need no anticoagulant therapy but present mechanical problems as they become rapidly calcified in younger patients and are progressively destroyed in adult patients thus requiring reintervention 8–10 years after their placement.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Starr, D., Lawrie, G., Howell, J. and Morris, G.: Clinical Experience with the Smeloff-Cutter Prosthesis, 1 to 12 years follow-up. Ann. Thorac. Surg. 30: 448, 1980.
Carpentier, A., Dubost, Ch. and Law, E.: Continuing improvements in valvular bioprosthesis. J. Thorac. Cardiovasc. Surg. 83: 27–42, 1982.
Ott, D., Coelho, A. and Cooley, D.: Ionescu-Shiley pericardial Xenograft valve: hemodynamic evaluation and early clinical follow-up of 326 patients. Cardiovascular diseases. Bull. Tex H. Inst 7: 137, 1980.
Carpentier; A.: Valvular xenograft and valvular xenobioprosthesis past, present and future. Adv. Cardial 27: 281–293, 1980.
Carpentier, A., Chauvaud, S. Fabiani, J.N., et al: Reconstructive surgery of mitral valve incompetence: ten years appraisal. JTCS 79: 338–348, 1980.
Perierp: Evaluation des différentes Méthodes de traitement des valvulopathies mitrales (à propos de 4 séries de 100 malades opérés par prothèse de Starr, Prothèse de Björk, Bioprothèse et reconstruction valvulaire.) Thèse-Paris 1982.
Silver, M., Pollock, J., and Williams, W.: Calcification in porcine xenograft in children. Ann. J. Card. 45: 685–689, 1980.
Beurting, S., O’Grady, J., Fabiani, J.N. et al: Cardiopulmonary bypass in man: effects of prostacyclin. In clinical pharmacology of prostacyclin, Raven press, New York, 1981.
Deloche, A. Carpentier, A., Hanania, G. et al: Annoloplastie reconstructive tricuspidienne (à propos de 250 patients). Coeur N° spécial: 173, Octobre 1974.
Carpentier, A., Deloche, A., Hanania, G. et al: Surgical management of acquired tricuspid valve disease. J Thorac Cardiovasc Surg 67: 1, 1974.
Fabiani, J.N., Deloche, A., D’Allaines, CI. and Dubost, Ch.: Résultats de la chirurgie des polyvalvulopathies (à propos de 939 cas opérés). Coeur N° spécial: 649, octobre 1974.
Fabiani, J.N., Perier, P., Chelly, J. et al: Blood versus crystalloid cardioplegia: clinical evaluation. In textbook of clinical cardioplegia, Future ed: 285, 1982.
Fabiani, J.N.: Anterograde or retrograde cardioplegia: experimental and clinical study. Congress of International College of Angiology, Antwerpen 1982 and Angiology (à paraitre).
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1986 Science Press, Beijing and Martinus Nijhoff Publishers, Dordrecht
About this chapter
Cite this chapter
Dubost, C., Fabiani, J.N. (1986). Management of Valvular Surgery. In: Wu, Y., Peters, R.M. (eds) International Practice in Cardiothoracic Surgery. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4259-2_79
Download citation
DOI: https://doi.org/10.1007/978-94-009-4259-2_79
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-8391-1
Online ISBN: 978-94-009-4259-2
eBook Packages: Springer Book Archive