1. St. Thomas’ Hospital, London, United Kingdom; 2. Ferrarotto Hospital, University of Catania, Catania, Italy; 3. McGill University Healthcare Centre, Montreal, Quebec, Canada; 4. Medical Clinic I, Städtische Kliniken-Neuss, Lukaskrankenhaus GmbH, Neuss,
“Valve durability emerges as the most persistent criticism of biological valves. However, we have come to recognize that failure or degeneration in a biologic valve is a slowly progressive process. This means that there is adequate warning and plenty of time for a safe, planned second procedure. The message I am trying to deliver is that we should not be deflected by the mechanical valve proponents into believing that valve durability is the key factor keeping patients alive. The fact that the valve is fine and unmarked, after the patient is dead, is of little interest to anyone but ...
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