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Ann Thorac Surg 1991;52:161-172
© 1991 The Society of Thoracic Surgeons
Cardiac Surgical Unit, Massachusetts General Hospital, Boston, Massachusetts USA
* Address reprint requests to Dr Akins, Cardiac Surgical Unit, Massachusetts General Hospital, 32 Fruit St, Boston, MA 02114.
Mechanical cardiac valvular prostheses currently enjoy a 60% to 40% market-share advantage over tissue prostheses in the United States and worldwide. Only the Starr-Edwards caged Silastic (Dow Corning) ball, Medtronic-Hall, St. Jude Medical, and Omniscience valves remain available in the United States. Although each valve has certain advantages and disadvantages, no design has achieved functional mechanical perfection. Late follow-up of valve-related complications from the literature favors the St. Jude Medical and Medtronic-Hall valves.
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