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University Clinic of Cardiac Surgery, Innsbruck Medical University, Innsbruck, Austria
Accepted for publication June 15, 2009.
* Address correspondence to Dr Wiedemann, University Clinic of Cardiac Surgery, Innsbruck Medical University, Anichstr. 35, Innsbruck, A-6020, Austria (Email: dominik.wiedemann{at}i-med.ac.at).
One year after aortic bioprosthetic valve replacement with a 23-mm Epic bioprosthesis (St. Jude Medical, St. Paul, MN) with concomitant coronary artery bypass grafting, early valve degeneration with leaflet calcification and stiffening was documented in a 61-year-old man. A possible reason for this extremely early deterioration could not be identified, although a xenograft reaction could be a plausible hypothesis. Consequently, a successful redo aortic valve replacement with a 21-mm Magna Ease (Carpentier-Edwards, Irvine, CA) was performed.
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