W. Konertz et al., PRELIMINARY EXPERIENCE WITH THE TORONTO SPV STENTLESS PORCINE BIOPROSTHESIS FOR AORTIC-VALVE REPLACEMENT, The thoracic and cardiovascular surgeon, 42(1), 1994, pp. 36-39
From November 1992 to March 1993 fourteen patients received the Toront
o SPV stentless porcine xenograft as aortic valve replacement. Median
age was 56 years (range 32-70 years). 7 patients were male and 7 femal
e. Implanted valve sizes ranged from 23 mm to 29 mm, the majority of p
atients received valves with 27 and 29 mm tissue diameter. A learning
process was evident by aortic crossclamp time decreasing with experien
ce. No valve-related mortality or morbidity occurred. Postoperatively
echocardiography showed near normal valve performance in most patients
. The longevity of the valve, however, still has to be established. Me
anwhile we continue the implant of stentless bioprostheses as aortic v
alve substitutes in selected patients.