Since 1955, with the progress of safer methods of extra corporeal circularion, open heart surgery started to go through great advancements. As far as the treatment of vaive disease is concerned those improvements made it possible to think about repla cing the diseased heart valves with prostheses. Even before the era of open heart surgery, correction of aortic insufficiency had been clinically ...

Valve prostheses have played an important part in the past two decades in the management of patients with valvular heart disease. However, many of the devices used in valve replacement have introduced new clinical problems. This paper deals with some of the problems associated with valve replacement, including one not previously emphasized valve prosthesis-patient mismatch, which may cause obst...

Approximately 275 000 patients receive a heart valve replacement annually. Their choices and the choices of their surgeons are limited to either a metal valve replacement or a preserved (typically allogeneic or xenogeneic) tissue valve replacement. These patients are then subject to the morbidity associated with anticoagulation when mechanical valves are used or the limited durability of a biol...

Methods All patients younger than 70 years of age undergoing isolated aortic valve replacement from October 2005 to October 2011 were analyzed. Patient-prosthesis mismatch was defined as the indexed effective orifice area ≤ 0,85cm2/m2. We studied the impact of patient-prosthesis mismatch on mid-term overall mortality, cardiac events and New York Heart Association functional class using an analy...

OBJECTIVE To determine the doppler derived mean gradients of St Jude mechanical prosthesis in early postoperative period in patients undergoing valve replacement at a tertiary care cardiac centre. METHODS Medical records of 190 consecutive patients who underwent 233 mitral, aortic or dual (mitral and aortic) valve replacement by St Jude bileaflet mechanical prosthesis at Tabba Heart Institute...

The surgical replacement of diseased heart valves is based on the premise that the prosthesis chosen to replace a stenotic or insufficient valve will have a beneficial impact on the patient’s heart function, taking into account the risks of surgery and the recognized complications of prosthetic heart valves. It is well established that mitral valve replacement (MVR) is associated with higher sh...

Artificial valve replacement is a common procedure in case of heart valve disorders treatment. The main task of this prosthesis is to generate blood flow similar to flow generated by natural, human valve. Velocity distribution depends mainly on the geometry of the valve. That is why it should be analysed and modified in case to obtain the best results. The objective of this study was to numeric...