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European Journal of Cardio-Thoracic Surgery, Vol 7, 507-510, Copyright © 1993 by European Association for Cardio-thoracic Surgery

ARTICLES

Bioprosthesis replacement with mechanical valve implantation on the bioprosthetic ring. Surgical and 2D echo considerations

P Stassano, MA Losi, A Golino, C Gagliardi, D Iorio, M Marzullo and N Spampinato
Department of Cardiac Surgery, 2nd Medical School, University of Naples, Italy.

Removal of a failing bioprosthesis can be a delicate operation and extensive damage can be caused. Eighteen patients with failing bioprostheses underwent excision of the leaflets, then the "new" mechanical valve was sewn onto the "old" bioprosthetic ring. At follow- up, clinical and 2D color-flow echo-Doppler evaluations showed good hemodynamic performance of the mechanical valves.

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