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Interact CardioVasc Thorac Surg 2007;6:557. doi:10.1510/icvts.2007.159277A
© 2007 European Association of Cardio-Thoracic Surgery
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Domingo Braile
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Best evidence topic - Valves

ICVTS on-line discussion A Anticoagulation in biologic valves in tricuspid position

Domingo Braile, Valeria Braile and Joao Carlos Leal

Rio Preto Statate Medical School/AV J.K.1505 São Jose do Rio Preto/15091-450/Brazil

Should the tricuspid valve be replaced with a mechanical or biological valve?

eComment: I congratulate the authors for the effort in developing this very important meta-analysis [1]. It has always been a challenge to make the choice of a prosthesis when operating patients with tricuspid valve diseases. In our experience, considering the difficulty in maintaining the patients in correct anticoagulation, we use in all cases biologic valves (pericardial valves) without anticoagulation. Our results are similar to the ones presented in the papers presented in the article. I don't know the reason to anticoagulate the patients with Biologic Valves in the tricuspid, mitral or aortic position, except if they have atrial fibrillation. Can the author explain the reason for that behavior?


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  1. Kunadian B, Vijayalakshmi K, Balasubramanian S, Dunning J. Should the tricuspid valve be replaced with a mechanical or biological valve? Interact CardioVasc Thorac Surg 2007; 6:551–557.[Abstract/Free Full Text]

Related Article

Should the tricuspid valve be replaced with a mechanical or biological valve?
Babu Kunadian, Kunadian Vijayalakshmi, Sankar Balasubramanian, and Joel Dunning
Interactive CardioVascular and Thoracic Surgery 2007 6: 551-557. [Abstract] [Full Text] [PDF]




This Article
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Domingo Braile
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