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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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REVIEWS CONTROVERSIES IN AORTIC VALVE SURGERY
The Journal of Cardiovascular Surgery 2007 December;48(6):791-5
Reoperative surgery on the aortic valve
Ali A., Pepper J.
Department of Surgery Royal Brompton Hospital London, UK
The number of patients presenting for reoperative valve surgery is set to rise because of the increased longevity of the population. International trends indicate a shift towards the use of tissue valves in North America and Europe. In recent years, improved techniques have reduced the early mortality of these procedures, such that age, alone, is no longer an incremental risk factor. It is the co-morbidity which largely determines the fate of these patients. Percutaneous valve replacement is evolving and is likely to be a useful form of management especially in those with significant associated disease.