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Ann Thorac Surg 1976;22:362-368
© 1976 The Society of Thoracic Surgeons

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Articles

Clinical Evaluation of the Lillehei-Kaster Pivoting-Disc Valve

Divisions of Cardiothoracic Surgery and Cardiology, University of North Carolina School of Medicine, Chapel Hill, NC.

^* Address reprint requests to Dr. Starek, Division of Cardiothoracic Surgery, University of North Carolina School of Medicine, Box 7, Division of Health Affairs, Chapel Hill, NC 27514.

A four-year clinical evaluation of 133 patients with Lillehei-Kaster pivoting-disc valves has shown that patients with an aortic valve prosthesis have remained free from valve-related problems. Patients with a mitral valve implanted have a satisfactory survival record as calculated by actuarial methods; however, a 10% incidence of valve thrombosis was experienced. Analysis suggests that this may be related to inadequate anticoagulation or use of an inappropriate suturing technique or both.

The patients enjoyed significant clinical improvement following operation, with no evidence of hemolysis. A history suggestive of postoperative embolization was present in only 1 patient in this series.

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