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. 1968 Jul;23(4):331–337. doi: 10.1136/thx.23.4.331

Experimental mitral valve replacement with a heterograft aortic valve in a rigid metal ring

E Proctor 1
PMCID: PMC471798  PMID: 5664693

Abstract

A mitral valve replacement is described in which a heterograft (pig) aortic valve is supported in a rigid metal ring having three spurs to support the commissures. The ring frame is completely covered by the heterograft, and no artificial material is in contact with the blood stream. Completely fabricated and tested for competency beforehand, it requires only one row of interrupted sutures—after the manner of the Starr-Edwards prosthesis—for insertion, and can be used in either the mitral or the aortic position. Experimental results in the dog indicate that the valve may require only temporary anticoagulation to cover the immediate post-operative period.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BARRATT-BOYES B. G. HOMOGRAFT AORTIC VALVE REPLACEMENT IN AORTIC INCOMPETENCE AND STENOSIS. Thorax. 1964 Mar;19:131–150. doi: 10.1136/thx.19.2.131. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. BJOERK V. O., MALERS E. TOTAL MITRAL VALVE REPLACEMENT: LATE RESULTS. J Thorac Cardiovasc Surg. 1964 Oct;48:625–634. [PubMed] [Google Scholar]
  3. DURAN C. G., GUNNING A. J. HETEROLOGOUS AORTIC-VALVE TRANSPLANTATION IN THE DOG. Lancet. 1965 Jul 17;2(7403):114–115. doi: 10.1016/s0140-6736(65)92227-0. [DOI] [PubMed] [Google Scholar]
  4. GADBOYS H. L., JONES A. R., SLONIM R., WISOFF B. G., LITWAK R. S. THE HOMOLOGOUS BLOOD SYNDROME. III. INFLUENCE OF PLASMA, BUFFY COAT AND RED CELLS IN PROVOKING ITS MANIFESTATIONS. Am J Cardiol. 1963 Aug;12:194–202. doi: 10.1016/0002-9149(63)90309-6. [DOI] [PubMed] [Google Scholar]
  5. HUGHES R. K. COMPLICATIONS OF STARR-EDWARDS MITRAL VALVE REPLACEMENT. J Thorac Cardiovasc Surg. 1965 May;49:731–738. [PubMed] [Google Scholar]
  6. Hubka M., Siska K., Holec V. Replacement of the mitral valve with an aortic valve homograft implanted into the left atrium. J Thorac Cardiovasc Surg. 1967 Feb;53(2):260–267. [PubMed] [Google Scholar]
  7. Ionescu M. I., Wooler G. H., Smith D. R., Grimshaw V. A. Mitral valve replacement with aortic heterografts in humans. Thorax. 1967 Jul;22(4):305–313. doi: 10.1136/thx.22.4.305. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. KLOSTER F. E., BRISTOW J. D., GRISWOLD H. E. MEDICAL PROBLEMS IN MITRAL AND MULTIPLE VALVE REPLACEMENT. Prog Cardiovasc Dis. 1965 May;7:504–530. doi: 10.1016/s0033-0620(65)80031-7. [DOI] [PubMed] [Google Scholar]
  9. LOWER R. R., SHUMWAY N. E. REPLACEMENT OF THE DOG MITRAL VALVE WITH A HOMOGRAFT. Surg Forum. 1963;14:247–248. [PubMed] [Google Scholar]
  10. LOWER R. R., STOFER R. C., SHUMWAY N. E. Total excision of the mitral valve and replacement with the autologous pulmonic valve. J Thorac Cardiovasc Surg. 1961 Nov;42:696–702. [PubMed] [Google Scholar]
  11. McKenzie M. B., Titus J. L., Rastelli G. C., Pappas G., Ellis F. H., Jr Replacement of the canine mitral valve with semilunar valves. J Thorac Cardiovasc Surg. 1966 Feb;51(2):168–179. [PubMed] [Google Scholar]
  12. O'Brien M. F., Clarebrough J. K. Preliminary communication heterograft aortic valve transplantation for human valve disease. Med J Aust. 1966 Jul 30;2(5):228–230. [PubMed] [Google Scholar]
  13. Pappas G., Titus J. L., Berghuis J., McKenzie M. B., Ellis F. H., Jr Dog mitral valve homografts and heterografts. Surg Forum. 1966;17:175–176. [PubMed] [Google Scholar]
  14. Proctor E., De Bono A. H. A low priming volume oxygenator for bloodless priming in cardiopulmonary bypass. Thorax. 1965 Nov;20(6):540–544. doi: 10.1136/thx.20.6.540. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. ROSS D. N. Homograft replacement of the aortic valve. Lancet. 1962 Sep 8;2(7254):487–487. doi: 10.1016/s0140-6736(62)90345-8. [DOI] [PubMed] [Google Scholar]

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