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ARTICLE |

Mitral Valve Replacement With Autologous Tissue

Lorenzo Gonzalez-Lavin, MD; Marcel Geens, MD; Donald N. Ross, BSc, MB, ChB, FRCS
Arch Surg. 1970;101(6):760-764. doi:10.1001/archsurg.1970.01340300116019.
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Mitral valve replacement utilizing autologous fascia lata has been undertaken in 65 patients with an operative mortality of 13.8%. All the survivors are greatly improved; a marked increase in exercise tolerance and a decrease in heart size are evident in all but one. Seven percent of the patients developed an apical systolic murmur after surgery; however, moderate mitral regurgitation was found in only one patient. Autologous fascia lata is fashioned into a three-leaflet valve attached to a rigid frame. It is nonthrombogenic and offers excellent hemodynamics. This initial experience has encouraged the authors to continue with this method of valve replacement.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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