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Ann Thorac Surg 1995;60:1836-1844
© 1995 The Society of Thoracic Surgeons
Cardiac Surgical Unit, Massachusetts General Hospital, Boston, Massachusetts, USA
* Address reprint requests to Dr Akins, Cardiac Surgical Unit, Masschussetts General Hospital, White 503, 32 Fruit St, Boston, MA 02114.
Mechanical cardiac valvular prostheses continue to be more popular than bioprostheses for heart valve replacement operations. Five different brands of mechanical heart valves are now approved for implantation in the United States: Starr-Edwards models 1260 and 6120, Medtronic-Hall, St. Jude Medical, Omniscience, and CarboMedics. Each model of mechanical valve has certain positive and negative attributes, but none is functionally mechanicall perfect. A review of the published long-term results with these valves favors the Medtronic-Hall and St. Jude Medical valves. A new method of assessing the thrombogenic potential and requirement for anticoagulation of the different mechanical valves, namely the composite thromboembolism and bleeding index, is proposed. Evaluation of the new index demonstrates a modest advantage for the Medtronic-Hall valve, particularly in the aortic position.
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J.-F. Obadia, Y. A. Martelloni, O. H. Bastien, G. M. Durand de Gevigney, and J.-F. Chassignolle Long-Term Follow-up of Small (Size 20 and 21) Medtronic-Hall Aortic Valve Prostheses Ann. Thorac. Surg., August 1, 1997; 64(2): 421 - 425. [Abstract] [Full Text]
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J. H. Choh Preservation of Anterior and Posterior Leaflet in Mitral Valve Replacement With a Tilting-Disc Valve Ann. Thorac. Surg., July 1, 1997; 64(1): 271 - 273. [Abstract] [Full Text]
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D. D. Muehrcke, D. M. Cosgrove III, B. W. Lytle, P. C. Taylor, A. M. Burgar, C. P. Durnwald, and F. D. Loop Is There an Advantage to Repairing Infected Mitral Valves? Ann. Thorac. Surg., June 1, 1997; 63(6): 1718 - 1724. [Abstract] [Full Text]
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D. Sawant, A. K. Singh, W. C. Feng, A. A. Bert, and F. Rotenberg Nineteen-Millimeter Aortic St. Jude Medical Heart Valve Prosthesis: Up to Sixteen Years' Follow-up Ann. Thorac. Surg., April 1, 1997; 63(4): 964 - 970. [Abstract] [Full Text]
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D. Sawant, A. K. Singh, W. C. Feng, A. A. Bert, and F. Rotenberg ST. JUDE MEDICAL CARDIAC VALVES IN SMALL AORTIC ROOTS: FOLLOW-UP TO SIXTEEN YEARS J. Thorac. Cardiovasc. Surg., March 1, 1997; 113(3): 499 - 509. [Abstract] [Full Text]
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T.-M. Lee, N.-K. Chou, S.-F. Su, Y.-J. Lin, M.-F. Chen, C.-S. Liau, Y.-T. Lee, and S.-H. Chu Left Atrial Spontaneous Echo Contrast in Asymptomatic Patients With a Mechanical Valve Prosthesis Ann. Thorac. Surg., December 1, 1996; 62(6): 1790 - 1795. [Abstract] [Full Text]
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T. E. David, V. L. Gott, L. A. Harker, G. E. Miller Jr, D. C. Naftel, A. G. G. Turpie, and C. W. Akins Mechanical Valves Ann. Thorac. Surg., November 1, 1996; 62(5): 1567 - 1570. [Full Text]
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D. P. O'Hair, E. A. Rose, and C. W. Akins Mechanical Valve Performance Ann. Thorac. Surg., November 1, 1996; 62(5): 1570 - 1571. [Full Text]
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D. Horstkotte and C. W. Akins Results With Mechanical Cardiac Valvular Prostheses Ann. Thorac. Surg., November 1, 1996; 62(5): 1565 - 1567. [Full Text]
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A. A. Mikhail and C. W. Akins Omniscience Valve Evolution and Literature Ann. Thorac. Surg., August 1, 1996; 62(2): 624 - 626. [Full Text]
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C. W. Akins Long-Term Results With the Medtronic-Hall Valvular Prosthesis Ann. Thorac. Surg., March 1, 1996; 61(3): 806 - 813. [Abstract] [Full Text]
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