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Ann Thorac Surg 1976;22:458-463
© 1976 The Society of Thoracic Surgeons
From the Departments of Cardiovascular Surgery and Radiology, Centro Médico Nacional Marques de Valdecilla, Santander, Spain
* Address reprint requests to Dr. Duran, Cirugía Cardiovascular, Centro Médico Nacional Marques de Valdecilla, Santander, Spain
A new, totally flexible ring for atrioventricular annuloplasty is described. The technique for its insertion closely follows the principles of Carpentier's selective annulus reconstruction [4]. Ninety-nine such rings have been inserted (47 in the mitral and 52 in the tricuspid position); 45 valves were simultaneously replaced. There were 6 (4 hospital and 2 late) deaths. The thromboembolic incidence was 4.8%. No instances of dehiscence or late ring deterioration have been detected. Thirty-four patients have been recatheterized, 19 of them with mitral rings. The mitral gradients and angiographic findings show the correct functioning of the implanted ring. It is concluded that use of this flexible ring, which adapts to the continuous changes of the normal mitral annulus, produces a more physiological type of valve operation.
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