A Simplified Concept for a Bileaflet Atrioventricular Valve that Maintains Annular‐Papillary Muscle Continuity
作者:
LYNDA L. MICKLEBOROUGH,
YOEL OVIL,
GREGORY J. WILSON,
GREGORY MISHKEL,
TADASHI TASHIRO,
AKIHIKO USUI,
HARRY RAKOWSKI,
GORDON GRAY,
BERNARD GOLDMAN,
期刊:
Journal of Cardiac Surgery
(WILEY Available online 1989)
卷期:
Volume 4,
issue 1
页码: 58-68
ISSN:0886-0440
年代: 1989
DOI:10.1111/j.1540-8191.1989.tb00257.x
出版商: Blackwell Publishing Ltd
数据来源: WILEY
摘要:
AbstractWe have developed a simplified concept for a bileaflet atrioventricular prosthesis that can be constructed from a simple sheet of glutaraldehyde preserved pericardium. The valve has no rigid ring or stent and no cloth sewing ring. Insertion of the valve reestablishes normal continuity between the annulus and the papillary muscles. We have replaced the mitral valve in nine dogs using this prosthesis. All valves have been competent with excellent valve opening areas as confirmed by echo‐Doppler assessment. Studies up to 4 1/2 months have confirmed excellent hemodynamics and there has been no evidence of early tissue failure. Possible advantages of this simple valve design are improved hemodynamics, ease of construction and insertion, and low cos
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