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Valve Replacement Surgery

Valve Replacement Surgery . Dr. Spanner van Zyl. First Aortic Valve Replacement. Dr. Murray performed first Aortic Valve replacement on a 22 year old male patient in 1955. First Aortic Valve Repair. May 1956- Dr. Lillehei repaired an Aortic Valve in a female patient on the heart-lung machine.

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Valve Replacement Surgery

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  1. Valve Replacement Surgery Dr. Spanner van Zyl

  2. First Aortic Valve Replacement • Dr. Murray performed first Aortic Valve replacement on a 22 year old male patient in 1955

  3. First Aortic Valve Repair • May 1956- Dr. Lillehei repaired an Aortic Valve in a female patient on the heart-lung machine

  4. Mitral Valve • Mitral Valve has a very complex anatomy • First implant was done in early 1960’s in USA

  5. Aorta • First Aortic prosthesis implant performed on a patient in March 1960 in Florida, USA

  6. Double Valve Surgery • First Double Valve Implant was performed in November 1961 in Pittsburgh, Pennsylvania, USA

  7. Anatomy of Aortic and Mitral Valves…

  8. Types of Valves • Mechanical • Tissue

  9. Mechanical Valves • Star-Edwards • Barnard-Goosen • Lillehei-Kaster • Bjork-Shiley • St. Jude Medical • Carbomedics • ATS

  10. Tissue Valves • Homographs • Porcine • Pericardial

  11. Dr. Denton Cooley Texas,USA • “…About 6 months earlier this patient had had a porcine graft in the aortis annulus in a city in Lousiana. The poor bewildered mother, knowing that her son had received a pork graft, asked me what type of valve we would now use. I told her we would use a Bjork Valve. She said, ‘what kind of animal is a Bjork?’”

  12. Problems with Valves • Mechanical- anticoagulation (blood thinners) • Tissue Valves- flow gradients

  13. The EndThank you!

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