One of the major complications of heart valve replacement is paravalvular leak (PVL). Large PVLs result in the progression of heart failure and endocarditis.1,2 Clinically significant PVL requiring reoperation occurs in fewer than 2% of cases.3 Traditionally, pledgeted, nonabsorbable sutures are used to secure prosthetic valves. The aim of this study was to assess the safety and feasibility of using nonpledgeted sutures for heart valve replacements.
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Chan PG, Chan EG, Seese L, et al. Safety and Feasibility of a Nonpledgeted Suture Technique for Heart Valve Replacement. JAMA Surg. Published online November 21, 2018. doi:10.1001/jamasurg.2018.4243
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