Fascia Lata Replacement of the Heart Valves

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Autologous fascia lata for heart valve replacement.

To obviate the drawbacks of prosthetic devices and in search of a better substitute for diseased heart valves a technique of using autologous fascia lata grafts attached to a support frame was developed. The technique of preparing mounted fascia lata grafts is briefly outlined and their surgical implantation into the mitral, tricuspid, and aortic areas is described. Since April 1969, 83 fascial...

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Fascia lata valves: a clinicopathological study.

Sixteen frame-mounted fascia lata valves removed from the mitral, aortic or--in one patient--pulmonary position have been detailed histologically. These valves had remained in 15 patients (11 men and four women) for periods varying between 10 and 44 months. The reason for the original transplantation was either chronic rheumatic endocarditis or calcific aortic disease. In the mitral position, t...

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Autologous fascia lata cardiac valve replacement.

Prosthetic cardiac valve replacement has been carried out at Brugmann University Hospital since 1962. In a series of 370 valvular replacements, operative and hospital deaths have attained a low rate (5%). The overall survival of 70% is comparable to that of most published series. Late thromboembolic complications, in spite of longterm anticoagulant therapy, remain the principal disadvantage of ...

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Haemodynamic results of replacement of mitral and aortic valves with autologous fascia lata prostheses.

Twelve patients undergoing aortic and 28 undergoing mitral valve replacement with autologous fascia lata valves were studied before and six months after surgery. One aortic and 10 mitral valves were found to be significantly incompetent. Of the incompetent mitral valves, two appeared to have perivalvular leaks. Six of the remainder were associated with abnormal ventricular filling patterns. Val...

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Auscultatory and phonocardiographic findings in autologous fascia lata valves.

Of a total of 30 autologous fascia lata aortic, mitral, and tricuspid valve replacements in 25 patients, opening sounds were heard or recorded in association with 24 valves. Murmurs were heard during forward flow across 26 of the valves. In no patients did the sounds or murmurs develop or progress during the period offollow-up but were present immediately after operation. It is felt that these ...

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ژورنال

عنوان ژورنال: Proceedings of the Royal Society of Medicine

سال: 1970

ISSN: 0035-9157

DOI: 10.1177/003591577006300937