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The Journal of Thoracic and Cardiovascular Surgery, Vol 89, 358-368, Copyright © 1985 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
DM Cosgrove, BW Lytle, CC Gill, LA Golding, RW Stewart, FD Loop and GW Williams
The bovine pericardial valve and the SupraAnnular valve have been developed
to improve the hemodynamic function of tissue valves. Hemodynamic
performances of the standard Carpentier-Edwards porcine valve, the
Carpentier-Edwards SupraAnnular valve, and the Carpentier- Edwards bovine
pericardial valve were compared in the aortic position. One hundred
patients undergoing aortic valve replacement were studied intraoperatively.
Mean gradient across the valve decreased for standard and pericardial
valves as valve size increased. At the same flow rate, the 23 mm
pericardial valve had larger valve orifice areas, higher performance
indices, and lower gradients than the 23 mm SupraAnnular valve. The
SupraAnnular valve is hemodynamically superior to the standard
Carpentier-Edwards porcine bioprosthesis. The Carpentier- Edwards
pericardial valve, however, is less obstructive in the aortic position than
either of the porcine valves.
ARTICLES
In vivo hemodynamic comparison of porcine and pericardial valves
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