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The Journal of Thoracic and Cardiovascular Surgery, Vol 93, 925-933, Copyright © 1987 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
VM Walley and WJ Keon
The experience of the University of Ottawa Heart Institute with valvular
replacement by Ionescu-Shiley bovine pericardial bioprostheses has been
recently reviewed. The focus of the present study is to examine the
patterns of valve failure in a subgroup of these prostheses, those that
required explanation for valve failure caused specifically by cusp wear and
tears. A total of 22 aortic and six mitral standard-profile valves failed
in this way. Twenty-five of these valves were reassessed and are the
subject of this paper. Twenty-eight holes and 56 cusp tears occurred in
these valves in locations which, along with coexistent pathologic findings,
suggested that the cusp commissural suture/alignment stitch was the point
of their origin. The importance of this observation and postulation about
the genesis of these cases of valve failure lies in the potential for
improvement of this valve's performance by modifications of its
manufacture.
ARTICLES
Patterns of failure in Ionescu-Shiley bovine pericardial bioprosthetic valves
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