A Simplified Concept for a Bileaflet Atrioventricular Valve that Maintains Annular‐Papillary Muscle Continuity

LYNDA L. MICKLEBOROUGH, YOEL OVIL, GREGORY J. WILSON, GREGORY MISHKEL, TADASHI TASHIRO, AKIHIKO USUI, HARRY RAKOWSKI, GORDON GRAY, BERNARD GOLDMAN

研究成果: Article査読

4 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)58-68
ページ数11
ジャーナルJournal of Cardiac Surgery
4
1
DOI
出版ステータスPublished - 03-1989
外部発表はい

All Science Journal Classification (ASJC) codes

  • 外科
  • 呼吸器内科
  • 循環器および心血管医学

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