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Aortic Valve Replacement with Bioprostheses in Liver Transplant Recipients
Ignacio Segura MD, José I. Herrero PhD, Alejandro Martín PhD, José D. Saénz de Buruaga MD, Jorge Quiroga PhD, Gonzalo Latorre MD, Elena Fernandez MD, José Luis López-Coronado MD, Bruno Sangro PhD We report three liver transplant recipients who underwent successful aortic valve replacement (AVR). Indications for AVR were aortic stenosis (n = 2) and aortic regurgitation (n = 1).The use of bioprostheses was recommended because of patient age, the need for multiple liver biopsies, and contraindication to the use of anticoagulation therapy. One patient developed structural valve deterioration (SVD) during the next five years after surgery, and thus bioprosthetic valve replacement was required. Recipients of liver transplant who are subjected to valve replacement with tissue valves should be carefully followed up because of the risk for early SVD. AVR may be performed safely after liver transplantation. |
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