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The Annals of Thoracic Surgery, Vol 22, 458-463, Copyright © 1976 by The Society of Thoracic Surgeons
CG Duran and JL Ubago
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 triscuspid
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.
ARTICLES
Clinical and hemodynamic performance of a totally flexible prosthetic ring for atrioventricular valve reconstruction
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