Mechanical versus biological aortic valve replacement strategies.

Reineke, David Christian; Gisler, Fabian; Englberger, Lars; Carrel, Thierry (2016). Mechanical versus biological aortic valve replacement strategies. Expert review of cardiovascular therapy, 14(4), pp. 423-430. Taylor & Francis 10.1586/14779072.2016.1133293

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Aortic valve replacement (AVR) is the most frequently performed procedure in valve surgery. The controversy about the optimal choice of the prosthetic valve is as old as the technique itself. Currently there is no perfect valve substitute available. The main challenge is to choose between mechanical and biological prosthetic valves. Biological valves include pericardial (bovine, porcine or equine) and native porcine bioprostheses designed in stented or stentless versions. Homografts and pulmonary autografts are reserved for special indications and will not be discussed in detail in this review. We will focus on the decision making between artificial biological and mechanical prostheses, respectively. The first part of this article reviews guideline recommendations concerning the choice of aortic prostheses in different clinical situations while the second part is focused on novel strategies in the treatment of patients with aortic valve pathology.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Reineke, David Christian; Gisler, Fabian; Englberger, Lars and Carrel, Thierry

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1477-9072

Publisher:

Taylor & Francis

Language:

English

Submitter:

Daniela Huber

Date Deposited:

04 Feb 2016 16:27

Last Modified:

15 Sep 2017 10:46

Publisher DOI:

10.1586/14779072.2016.1133293

PubMed ID:

26678683

Uncontrolled Keywords:

Aortic valve replacement; biological valve prosthesis; mechanical valve prosthesis; oral anticoagulation; novel oral anticoagulants

BORIS DOI:

10.7892/boris.75075

URI:

https://boris.unibe.ch/id/eprint/75075

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