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Circulation. 1965;31:I-67-I-79

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(Circulation. 1965;31:I-67.)
© 1965 American Heart Association, Inc.


Clinical and Hemodynamic Observations After Combined Aortic and Mitral Replacement

J. DAVID BRISTOW M.D.1; CYRUS FARREHI M.D.1; COLIN W. MCCORD M.D.1; ALBERT STARR M.D.1; HERBERT E. GRISWOLD M.D.1

1 From the Division of Cardiology of the Department of Medicine, and the Division of Cardiopulmonary Surgery, Department of Surgery, University of Oregon Medical School, Portland, Oregon.

Twelve patients have been observed from 6 to 19 months after combined aortic and mitral valvular replacement with Starr-Edwards prostheses. Eleven patients have had postoperative right- and left-heart catheterizations. The clinical and hemodynamic findings are described. Nine patients are well. Three others have less than satisfactory results, although one of these is improved. It is concluded that bivalvular replacement is now practical in selected patients and provides gratifying results in most individuals so treated.