TY - JOUR
T1 - A Simplified Concept for a Bileaflet Atrioventricular Valve that Maintains Annular‐Papillary Muscle Continuity
AU - MICKLEBOROUGH, LYNDA L.
AU - OVIL, YOEL
AU - WILSON, GREGORY J.
AU - MISHKEL, GREGORY
AU - TASHIRO, TADASHI
AU - USUI, AKIHIKO
AU - RAKOWSKI, HARRY
AU - GRAY, GORDON
AU - GOLDMAN, BERNARD
PY - 1989/3
Y1 - 1989/3
N2 - We 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 cost.
AB - We 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 cost.
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U2 - 10.1111/j.1540-8191.1989.tb00257.x
DO - 10.1111/j.1540-8191.1989.tb00257.x
M3 - Article
C2 - 2519983
AN - SCOPUS:0024323216
SN - 0886-0440
VL - 4
SP - 58
EP - 68
JO - Journal of Cardiac Surgery
JF - Journal of Cardiac Surgery
IS - 1
ER -