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Ann Thorac Surg 2009;88:1049-1050. doi:10.1016/j.athoracsur.2009.01.013
© 2009 The Society of Thoracic Surgeons
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Alexander Kulik
Nicholas T. Kouchoukos
Marc Ruel
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Correspondence

Avoiding Prosthesis-Patient Mismatch in the Elderly: Options Other Than Mechanical Prostheses

Alexander Kulik, MD, MPHa, Nicholas T. Kouchoukos, MDa, Marc Ruel, MD, MPHb

a Division of Cardiovascular and Thoracic Surgery, Missouri Baptist Medical Center, St. Louis, MO 63131
b Division of Cardiac Surgery, University of Ottawa Heart Institute, 40 Ruskin St, Suite 3403, Ottawa, Ontario, K1Y 4W7 Canada

(Email: mruel@ottawaheart.ca).

The first 20% of the full text of this article appears below.

To the Editor:

We read with interest the article by Vicchio and colleagues [1] evaluating the impact of prosthesis-patient mismatch (PPM) on the outcomes and quality of life of elderly patients with small sized aortic mechanical prostheses. In our view, tissue valves are the preferred prostheses for elderly patients undergoing valve replacement, and we were surprised to read that the authors solely implanted mechanical prostheses in a cohort of patients over 70 years of age. Several groups including our own have reported outstanding results with the use of . . . [Full Text of this Article]


Related Article

Reply
Mariano Vicchio, Alessandro Della Corte, Marisa De Feo, and Maurizio Cotrufo
Ann. Thorac. Surg. 2009 88: 1050-1051. [Extract] [Full Text] [PDF]



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M. Vicchio, A. Della Corte, M. De Feo, and M. Cotrufo
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Ann. Thorac. Surg., September 1, 2009; 88(3): 1050 - 1051.
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