Cardiac Reconstructions with Allograft Tissues by Hopkins, R. A.

By Hopkins, R. A.

This guide is a guide meant for citizens at any level in their event, together with cardiothoracic fellowship. it's intended as a tenet to appreciate the pathophysiologic purpose of motion within the working room and in depth care unit. Emphasis is put on body structure, anatomy, pathology, scientific administration, and surgical method.

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Sample text

Ross DN. Homograft replacement of the aortic valve. Lancet 1962;2:487. 14. Hopkins RA, St. Louis J, Corcoran PC. Ross’ first homograft replacement of the aortic valve. Ann Thorac Surg 1991;52:1190–1193. A. Hopkins 15. Barratt-Boyes BG. Homograft aortic valve replacement in aortic incompetence and stenosis. Thorax 1964;19:131–150. 16. Barratt-Boyes BG. A method for preparing and inserting a homograft aortic valve. Br J Surg 1965;52:847–856. 17. Merin G, McGoon DC. Ann Thorac Surg 1973;16:122–126.

Long-term evaluation. N Y State J Med 1973;73:651–654. 21. Wain WH, Greco R, Ignegeri A, Bodnar E, Ross DN. 15 years experience with 615 homograft and autograft aortic valve replacements. Int J Artif Organs 1980;3:169–172. 22. Barratt-Boyes BG, Roche AHG, Whitlock RML. Six year review of the results of freehand aortic valve replacement using an antibiotic sterilized homograft valve. Circulation 1977;55: 353–361. 23. Saravalli OA, Somerville J, Jefferson KE. Calcification of aortic homografts used for reconstruction of the right ventricular outflow tract.

Factors that have been found to lead to decreased durability of homografts:81 a. Older donor age. b. Dilated aortic root (unless corrected by aortoplasty). c. , Marfan’s syndrome and cystic medial necrosis. d. g. rheumatoid arthritis, lupus, etc). e. Technically imperfect implant, causing turbulent flows. f. Prolonged storage of wet-stored allografts prior to use. g. Harsh sterilization, harvesting, or preservation techniques. 3. 27 a. Cardioplegia-myocardial protection. b. Coronary artery disease.

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