Document Detail


Patterns of failure in Hancock pericardial bioprostheses.
MedLine Citation:
PMID:  1865694     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A series of Hancock pericardial valve bioprostheses was reviewed for cases of primary valve failure. Thirteen mitral and 10 aortic valve explants were recovered from 21 adult patients. Mitral valves had been in place for a mean of 56.4 months, and aortic valves for 53.8 months. All valves failed with cusp tears from stents (with a mean of 1.7 for mitral valves and 2.6 for aortic valves) in a predictable pattern, suggesting that wear and stress at cusp stitch sites are important in their pathogenesis. The topography of these tears is illustrated as are the less common associates of primary failure, such as calcification, fibrosis, and thrombosis. Similarities and differences of this valve's failure compared with that of the Ionescu-Shiley pericardial valve are discussed.
Authors:
V M Walley; F D Rubens; M Campagna; A L Pipe; W J Keon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  102     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1991 Aug 
Date Detail:
Created Date:  1991-09-09     Completed Date:  1991-09-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  187-94     Citation Subset:  AIM; IM    
Affiliation:
Department of Pathology, University of Ottawa, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aortic Valve
Bioprosthesis*
Calcinosis / etiology
Female
Fibrosis / etiology
Follow-Up Studies
Heart Valve Prosthesis*
Humans
Male
Middle Aged
Mitral Valve
Prosthesis Design
Prosthesis Failure
Thrombosis / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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