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Ann Thorac Surg 1977;23:377
© 1977 The Society of Thoracic Surgeons

Articles

Subannular Mitral Prosthesis in Aortic Position

J. Gunstensen, M.D., T.E. David, M.D., H.E. Scully, M.D.*

Division of Cardiovascular Surgery, Toronto General Hospital and the University of Toronto, Toronto, Ont, Canada

Accepted for publication June 18, 1976.

* Address reprint requests to Dr. Scully, 1st Floor College Wing East, Toronto General Hospital, 101 College St, Toronto M5G 1L7, Ont, Canada.

Björk-Shiley subannular mitral prostheses have been used in the aortic position in 36 patients with calcific aortic annulus. We believe that the flange in the sewing ring of these prostheses offers added protection against perivalvular leakage; over an 18-month period there have been no instances of periprosthetic leakage in these patients.






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