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Ann Thorac Surg 2001;71:1453
© 2001 The Society of Thoracic Surgeons

Invited commentary

^a Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Ave, Desk F25, Cleveland, OH 44195, USA

e-mail: smedirn@ccf.org

How to best manage prosthetic valves and native valve dysfunction in patients requiring mechanical support is unclear. Rao and colleagues report their experience in 199 patients of which 18 had some type of valve intervention during left ventricular assist device (LVAD) implant and outline a reasonable management paradigm in these complex patients. In practice the two questions that need to be answered are: (1) How to reduce the risk of thromboemboli in the presence of a prosthetic valve; and (2) What regurgitant valves should be fixed, how best to fix . . . [Full Text of this Article]

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Surgical management of valvular disease in patients requiring left ventricular assist device support

Vivek Rao, James P. Slater, Niloo M. Edwards, Yoshifumi Naka, and Mehmet C. Oz
Ann. Thorac. Surg. 2001 71: 1448-1453. [Abstract] [Full Text] [PDF]