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- W2128060141 abstract "c s h i t c f c t Options for biological aortic valve replacement (AVR) surgery consist of xenografts, allografts, and autografts. Historically, stented xenografts have been the most frequently implanted bioprosthesis, predominantly because of their ease of implantation and good long-term durability. However, stented bioprostheses have suboptimal hemodynamic performance because of their inherent stent and sewing cuff design.1 To address this problem, several stentless valve prostheses were developed and brought into clinical practice in the early 1990s. These valves were initially met with general enthusiasm from the cardiac surgery community because of their excellent hemodynamic performance, possibly leading to improved long-term left ventricular (LV) mass regression and survival.2-4 Despite these important advantages, 12% of all aortic valve bioprostheses implanted in Europe in 2008 were of the stentless variety.5 An obvious disconnect exists between the potential applications for stentless valves and their actual usage. What is the cause for this discrepancy between promise and reality? Does this truly represent the demise of the stentless valve? Possible explanations for the low stentless valve implantation rates, as well as their future potential, are discussed herein." @default.
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- W2128060141 date "2012-03-01" @default.
- W2128060141 modified "2023-10-03" @default.
- W2128060141 title "The Demise of the Stentless Valve" @default.
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- W2128060141 doi "https://doi.org/10.1053/j.semtcvs.2012.04.001" @default.
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