Heart Valve Surgery Mechanical Vs Bioprosthetic вђ Which Is Better Two main features of the bioprosthetic valves differ from the mechanical valves. first, bioprosthetic valves don’t require blood thinners. “however, the pig and cow valves can wear out,” dr. gillinov points out. “they almost always last at least ten years; we’ve seen as long as 22 years. Study of patients aged 65 80 years from the sts database undergoing aortic valve replacement.
Transcatheter Heart Valve Implantation For Failing Surgical The major advantage of a mechanical heart valve is its durability. mechanical heart valves would be expected to last > 20 30 years whereas bioprosthetic heart valves may only last 10 15 years before degenerating. this means that patients with mechanical heart valves are less likely to need a reoperation or repeat valve procedure. Practice guidelines do not distinguish between aortic valve and mitral valve prostheses, and mechanical valves are recommended in persons younger than 50 years of age, biologic prosthetic valves. Survival and outcomes following bioprosthetic vs mechanical mitral valve replacement in patients aged 50 to 69 years. jama 2015;313:1435 42. stassano p, di tommaso l, monaco m, et al. aortic valve replacement: a prospective randomized evaluation of mechanical versus biological valves in patients ages 55 to 70 years. j am coll cardiol 2009;54:. The 2020 valvular heart disease clinical practice guidelines recommend mechanical valves for patients <50 years old and bioprosthetic valves for those >65 years old. 16 the european society of cardiology european association for cardio‐thoracic surgery guidelines recommend mechanical valves for patients younger than 60 years of age. 17 only a.
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