Huhmann W, Lichtlen P R, Rickards A F, Yacoub M, Borst H G
Z Kardiol. 1978 Oct;67(10):667-71.
In 16 patients with Starr-Edwards (SE) disc valves, 10 patients with Lillehei-Kaster (LK) valves, and 4 patients with fresh aortic homografts (HG) in the mitral position the hemodynamic qualities of the valves were studied. All three valve types in general showed similar results, but they differed clearly as far as special parameters are concerned. So SE valves had the highest pressure gradients, HG valves the lowest, whereas LK valves were in between. The results of the study lead to the conclusion that tilting disc valves implanted in the mitral position are the best compromise, since they are always available and their hemodynamic response can be tolerated.
对16例植入斯塔尔-爱德华兹(SE)盘状瓣膜、10例植入利勒黑-卡斯特(LK)瓣膜以及4例植入新鲜主动脉同种异体移植物(HG)(二尖瓣位)的患者的瓣膜血流动力学特性进行了研究。总体而言,所有这三种瓣膜类型显示出相似的结果,但就特定参数而言,它们存在明显差异。因此,SE瓣膜的压力阶差最高,HG瓣膜最低,而LK瓣膜则介于两者之间。该研究结果得出结论,植入二尖瓣位的倾斜盘状瓣膜是最佳折衷方案,因为它们随时可用,且其血流动力学反应能够被耐受。