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The Journal of Thoracic and Cardiovascular Surgery, Vol 96, 760-764, Copyright © 1988 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
MR al Fagih, SM al Kasab and A Ashmeg
Aortic valve repair with the use of individually tailored bovine
pericardial extensions to the native cusps was performed in 20 patients
(mean age 22 years) with severe rheumatic aortic valve incompetence. After
aortic valve repair, the diastolic pressures increased significantly from a
mean (+/- standard deviation) of 49 +/- 14 to 73 +/- 8 mm Hg (p less than
0.001), and cardiac catheterization showed a marked reduction or total
correction of the angiographic degree of aortic regurgitation. All the
patients were free of symptoms over a mean follow-up period of 7.5 months
(1 to 23 months); the first 11 patients have had a mean follow-up period of
12 months. Attention is called to this short period of follow-up. Aortic
valve repair with the use of bovine pericardium for cusp extension may
prove to be an effective method of treatment for rheumatic aortic valve
incompetence.
ARTICLES
Aortic valve repair using bovine pericardium for cusp extension
Riyadh Cardiac Centre, Armed Forces Hospital, Kingdom of Saudi Arabia.
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