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Ann Thorac Surg 1979;28:392-396
© 1979 The Society of Thoracic Surgeons

Articles

Ten Years' Experience with Pulmonary Autograft Replacements for Aortic Valve Disease

G. Gula, M.D., W.H. Wain, Ph.D.*, D.N. Ross, F.R.C.S.

Department of Surgery and Homograft Department, National Heart Hospital, and Department of Surgery, Cardiothoracic Institute, London, England.

Accepted for publication November 28, 1978.

* Address reprint requests to Dr. Wain, Department of Surgery, Cardiothoracic Institute, 2 Beaumont St, London W1N 2DX, England.

Pulmonary autograft valves have been used to replace isolated, diseased aortic valves for 10 years, with a long-term survival of 73%. The low incidence of degeneration supports the principle that the autograft valve is a potentially permanent valve replacement. Operative mortality is now less than 5%, despite the longer, more complex operation. The current use of fresh homograft valves for the pulmonary replacement has contributed to these excellent long-term results.




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