Document Detail


Which valve and which size should we use in the valve-on-valve technique for re-do mitral valve surgery?
MedLine Citation:
PMID:  19010939     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The valve-on-valve (VOV) technique is that a mechanical valve is implanted on the sewing cuff of the previous bioprosthesis after removing degenerated leaflets. We conducted an in vitro study to determine the size-match of the valves for VOV technique. The Carpentier-Edwards pericardial (CEP) valve and Mosaic valve were used. We measured the inner diameter of the bioprosthesis after removing the leaflets. We investigated five mechanical mitral valves and two mechanical aortic valves (inverted use). The mitral valves used in this study were the ATS valve (ATS), the CarboMedics standard valve (CMS), the CarboMedics OptiForm valve (CMO), the On-X valve, and the St Jude valve (SJM). Two aortic mechanical valves, CarboMedics and St Jude Regent valves, were investigated for inverted use. After removing the tissue leaflets, the inner diameter of the Mosaic valve was 3 mm smaller than that of the CEP valve even in the same catalogue labeling size. The outer diameters of the housing of the ATS, CMS, CMO, On-X, and SJM valves of the same catalogue size (25 mm) were 25.7, 25.8, 22.0, 25.0, and 23.2 mm, respectively. SJM and CMO valves are the favorite mechanical valve for the VOV technique in terms of the profile and size-match.
Authors:
Toshihiko Shibata; Kazushige Inoue; Takeshi Ikuta; Yasuyuki Bito; Yoshiteru Yoshioka; Hiroki Mizoguchi
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Publication Detail:
Type:  Journal Article     Date:  2008-11-14
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  8     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-23     Completed Date:  2009-04-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  206-10     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Osaka City General Hospital, Miyakojima, Osaka, Japan. shibata-cvs@zeus.eonet.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Animals
Aortic Valve*
Bioprosthesis*
Heart Valve Diseases / surgery*
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation / instrumentation*
Humans
Mitral Valve / surgery*
Patient Selection
Pericardium / transplantation*
Prosthesis Design
Reoperation
Suture Techniques
Swine

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


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