title: Twenty-eight-year survival of stent-mounted aortic homograft in the mitral position: case report.
abstract: The case is presented of a long-term survivor after bioprosthetic valve implantation. A stent-mounted aortic homograft had been implanted in the mitral position, and survived for 28 years before being removed due to a tear in the base of leaflet, resulting in mitral regurgitation. The technique was discontinued in the mid- 1970s following reports of detachment of aortic valve cusps from the stent. The current case report may rekindle interest in the method, and also lead to an investigation of the factors that influence structural deterioration of bioprosthetic valves.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Cardiothoracic Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
authors.forename: Ganapathy
authors.initials: G
authors.lastname: Subramaniam
authors.forename: Ujjwal K
authors.initials: UK
authors.lastname: Chowdhury
authors.forename: Sandeep
authors.initials: S
authors.lastname: Seth
authors.forename: Somnath
authors.initials: S
authors.lastname: Prusty
authors.forename: A Sampath
authors.initials: AS
authors.lastname: Kumar
mesh_terms: D001021:Aortic Valve / Q000637:transplantation*; D001705:Bioprosthesis; D006085:Graft Survival; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery; D008946:Mitral Valve Stenosis / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation; D015607:Stents; D013997:Time Factors; D014184:Transplantation, Homologous