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Original Contributions |

Aortic Valve Replacement in Elderly Patients With Cardiac Failure

Frank C. Spencer, MD; J. Kent Trinkle, MD; Ben Eiseman, MD; John T. Reeves, MD; Borys Surawicz, MD
JAMA. 1964;189(2):103-107. doi:10.1001/jama.1964.03070020031006.
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Four patients (ages 54, 59, 59, 62) with severe cardiac failure from aortic stenosis and insufficiency have been successfully operated upon. In each patient the diseased aortic valve was replaced with a Starr-Edwards ball-valve prosthesis. An impressive resolution of the cardiac failure promptly occurred; the left ventricular diastolic pressure in two patients decreased in the operating room from 40 to 10 mm Hg. Subsequently all four patients maintained an adequate cardiac output during their postoperative convalescence. One died from endocarditis three months after operation; the other three are asymptomatic three to nine months following operation.


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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