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On-X versus St Jude Medical Regent mechanical aortic valve prostheses: early haemodynamics
  1. Robert Xu1,
  2. Mohammad Rahnavardi1,
  3. Bradley Pitman2,
  4. Masoumeh Shirazi2,
  5. Robert Stuklis1,
  6. James Edwards1 and
  7. Michael Worthington1
  1. 1 D'Arcy Sutherland Cardiothoracic Surgical Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia
  2. 2 Cardiology Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia
  1. Correspondence to Dr Mohammad Rahnavardi; rahnavardi{at}gmail.com

Abstract

Objective We aimed to compare the early haemodynamic data of the On-X and St Jude Medical (SJM) Regent bileaflet mechanical prostheses in the aortic position.

Methods A retrospective study was performed using data collected prospectively for a national database. Thirty-three patients who had aortic On-X valve (On-X group) and 33 matched patients who had aortic SJM Regent valve (SJM group) were included. The intraoperative and early postoperative data were collected. The same echocardiographer reviewed all the echocardiograms and obtained the required parameters.

Results The peak gradient across the prosthetic valve was comparable between the two groups except for the labelled valve size of 25 mm for which the On-X group had lower peak gradient when compared with the SJM group. Mean gradients and effective orifice area indices of the two valve types within each valve size subgroup were comparable.

Conclusions The current study confirms that in the early postoperative period, the two valve types had comparable haemodynamic outcomes.

  • On-X valve
  • St. Jude Medical Regent valve
  • aortic valve replacement
  • mechanical aortic valve

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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