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By Habibullah Tegey

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Newly developed bioprostheses designed for supraannular implantation have a different size labeling indicating the IOD (in millimeters). The reason is that in true supraannular implantation not only the sewing ring but J. Dominik and P. 1 Valve diameters. IOD internal orifice diameter, TAD tissue annulus diameter, ESRD external sewing ring diameter 43 Overview of the Valve Replacement Devices 44 also the housing/stent is placed above the patient’s annulus and so the IOD is equal to the TAD (Fig.

Due to these drawbacks, the non-tilting disc valves fell into disuse and were replaced by modern tilting disc valves. Tilting monodiscs were the most-often implanted valves in the 1970s and 1980s. In Europe, the most commonly used valves were the Björk–Shiley valves. The first model of this valve was introduced into clinical practice in 1969. It had a flat delrin disc, which tilted up to 60° [17]. 9a) with pyrolytic carbon flat disc tilting up to 60°. 9b) with significantly improved hemodynamic parameters was introduced.

Newly developed bioprostheses designed for supraannular implantation have a different size labeling indicating the IOD (in millimeters). The reason is that in true supraannular implantation not only the sewing ring but J. Dominik and P. 1 Valve diameters. IOD internal orifice diameter, TAD tissue annulus diameter, ESRD external sewing ring diameter 43 Overview of the Valve Replacement Devices 44 also the housing/stent is placed above the patient’s annulus and so the IOD is equal to the TAD (Fig.

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