Since the first frame-mounted fascia lata heart valves were used clinically (Ionescu and Ross, 1969), over 260 tissue valves made of autologous or homologous fascia lata or of heterologous pericardium have been inserted at this institution in the mitral, aortic, and tricuspid positions. Encouraged by our results, especially with aortic valve replacement, over more than four and a half years (Io...