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J Thorac Cardiovasc Surg 2006;131:759-760
© 2006 The American Association for Thoracic Surgery


Letter to the Editor

Inappropriate surgical technique or prosthesis malfunctioning?

Gino Gerosa, MD

Cardiovascular Surgery Institute, Padua University Medical School, Via Giustiniani 2, 35100, Padova, Italy

The first 20% of the full text of this article appears below.

To the Editors:

The Jude Medical (SJM) Regent valve (St Jude Medical, Inc, St Paul, Minn) represents the ultimate step in bileaflet valve engineering aiming to overcome prosthesis-patient mismatch. Compared with the SJM Hemodynamic Plus model, also the carbon rim is supra-annular. The new configuration offers a greater orifice area for a given annulus diameter. 1 Go

Øvrum and Tangen 2 Go reported 3 cases of intraoperative rereplacement of the SJM Regent aortic valve. Several issues raised by the article are questionable and misleading, and careful attention must be paid before "re-engineering" daily practice according to erroneous concepts.

First, claiming an acute arrest is intrinsically imprecise, since "leaflet . . . [Full Text of this Article]


Related Article

Reply to the Editor
Eivind Øvrum and Geir Tangen
J. Thorac. Cardiovasc. Surg. 2006 131: 760. [Extract] [Full Text] [PDF]






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Copyright © 2006 by The American Association for Thoracic Surgery.