Does mechanical versus bioprosthetic valve replacement affect the incidence of MAPE in middle-aged patients?
Middle-aged patients requiring valve replacement
Mechanical valve replacement
Bioprosthetic valve replacement
MAPE
Current data do not support lowering the usual age cutoff for tissue valve implantation below 65 years.
In middle-aged patients, MAPE may occur more often in patients with bioprosthetic valves, but definitive conclusions necessitate the accumulation of additional follow-up. At present, these data do not support lowering the usual cutoff for implantation of a tissue valve below the age of 65.
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Alexander Kulik
Cardiac Surgery
P BEDARD
University of Ottawa
B-Khanh Lam
Cleveland Clinic
European Journal of Cardio-Thoracic Surgery
University of Ottawa
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Kulik et al. (Fri,) studied this question.
synapsesocial.com/papers/69c1aeceaa580801bf53b3fa — DOI: https://doi.org/10.1016/j.ejcts.2006.06.013