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Bioprosthetic valves and native valve repair are argued to be pragmatic alternatives to mechanical prostheses in quadruple valve surgery to avoid lifelong anticoagulation and permit future valve-in-valve interventions.
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This letter to the editor argues that valve repair or bioprosthetic valve implantation may be more pragmatic and patient-centered options than mechanical prostheses in quadruple valve surgery due to avoidance of lifelong anticoagulation and the feasibility of future transcatheter valve-in-valve interventions.
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Khaled Ebrahim Al Ebrahim (2026) conducted a letter in Quadruple valvular heart disease. Bioprosthetic valves or valve repair vs. Mechanical valve replacement was evaluated. Bioprosthetic valves and native valve repair are argued to be pragmatic alternatives to mechanical prostheses in quadruple valve surgery to avoid lifelong anticoagulation and permit future valve-in-valve interventions.
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