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Lorenzo Gonzalez-Lavin, MD; Marcel Geens, MD; Donald N. Ross, BSc, MB, ChB, FRCS

AMA Arch Surg. 1970;101(6):760-764.

Abstract
Mitral valve replacement utilizing autologous fascia lata has been undertaken in 65 patients with an operative mortality of 13.8%. All the survivors are greatly improved; a marked increase in exercise tolerance and a decrease in heart size are evident in all but one. Seven percent of the patients developed an apical systolic murmur after surgery; however, moderate mitral regurgitation was found in only one patient. Autologous fascia lata is fashioned into a three-leaflet valve attached to a rigid frame. It is nonthrombogenic and offers excellent hemodynamics. This initial experience has encouraged the authors to continue with this method of valve replacement.

Author Affiliations
London

From the departments of surgery, National Heart Hospital (Drs. Gonzales-Lavin, Geens, and Ross) and Guy's Hospital (Dr. Ross), London.

Footnotes
Accepted for publication Aug 7, 1970.

Read before the 18th scientific meeting of the International Cardiovascular Society, Chicago, June 20, 1970.

Reprint requests to Institute of Cardiology, 35 Wimpole St, London, W. 1. M 8 EX (Dr. Gonzalez-Lavin).

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