Article Text

PDF

Mitral valve replacement with stored inverted pulmonary homograft valve
  1. Jane Somerville2,
  2. Donald Ross,
  3. J. Keith Ross
  1. National Heart Hospital, London W.1

    Abstract

    The fate is described of 11 patients who had a stored pulmonary valve homograft mounted on a frame or in a Dacron jacket used for mitral valve replacement. Mitral regurgitation due to holes in the attenuated cusps occurred in nine by one year, requiring re-operation or causing death. Only one patient remains well with moderate mitral regurgitation after two years.

    Since January 1967, 118 patients have had mitral valve replacement with a preserved cadaver semilunar homograft valve mounted in a jacket or frame (Murray, Roschlau, and Lougheed, 1956; Heimbecker et al., 1962). In all except 11 patients the aortic valve was used.

    However, in the 11 patients in whom an inverted pulmonary valve was used (Lower, Stofer, and Shumway, 1961) the clinical course has been different. The purpose of this report is to draw attention to the problems and discourage the use of this form of mitral valve replacement.

    Statistics from Altmetric.com

    Footnotes

    • 2 Requests for reprints to: Jane Somerville, Institute of Cardiology, 35 Wimpole Street, London W1 M8EX

    • 1 Supported by a grant from the British Heart Foundation

    Request permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.