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Michael A. Mendez
Pablo Zubiate
Jerome Harold Kay
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Ann Thorac Surg 1980;29:423-427
© 1980 The Society of Thoracic Surgeons


Articles

Thirteen Years' Experience with the Kay-Shiley Disc Valve for Tricuspid Replacement in Ebstein's Anomaly

Masaharu Shigenobu, M.D., Michael A. Mendez, M.D., Pablo Zubiate, M.D., Jerome Harold Kay, M.D.*

Los Angeles Heart Institute at the St. Vincent Medical Center, and the University of Southern California School of Medicine, Los Angeles, CA

Accepted for publication September 19, 1979.

* Address reprint requests to Dr. Kay, 123 South Alvarado St, Los Angeles, CA 90057

From August, 1965, to November, 1974, 11 patients underwent operation for Ebstein's anomaly. In 1 patient operated on on August 16, 1965, the early Kay-Shiley disc valve was used. In the remaining 10 patients, the Kay-Shiley muscle guard valve was inserted. This valve was designed to prevent the prosthesis from encroaching on the right ventricle, thereby increasing the flow around the disc. One patient with a history of Wolff-Parkinson-White syndrome died of dysrhythmia on the first postoperative day. The other 10 patients have been followed from 4 to 13 years (mean, 6 years 2 months) after operation. Seven patients are working full-time without difficulty, 2 are housewives, and 1 attends school. All patients have improved at least one class in the New York Heart Association Functional Classification.




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