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The Journal of Thoracic and Cardiovascular Surgery, Vol 88, 573-582, Copyright © 1984 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
DK Walker, LN Scotten and RT Brownlee
The in vitro function of six tissue valves from four manufacturers has been
assessed. One porcine bioprosthesis (Carpentier-Edwards supra- annular) and
five pericardial valves (Edwards, Hancock, Ionescu-Shiley, Ionescu-Shiley
low-profile, and Mitral Medical Mitroflow) were tested. Valve function was
measured in a pulse duplicator simulating conditions of sinus rhythm (60,
80, and 120 beats/min and stroke volume 70 ml) and supraventricular
tachycardia (200 beats/min and stroke volume 30 ml). Under each of these
test conditions, mean transvalvular pressure, regurgitation, and
transvalvular energy loss were determined and used to compare valve
function. The porcine valve showed the largest mean transvalvular pressure
during forward flow. The total energy loss of this valve, however, was not
the largest for the valves tested. The total transvalvular energy loss
ranged between 3% and 12% for all valves and conditions. For all valves,
energy loss and regurgitation were greatest during simulated tachycardia.
ARTICLES
New generation tissue valves. Their in vitro function in the mitral position
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