{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:06:29Z","timestamp":1768435589777,"version":"3.49.0"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,2,2]],"date-time":"2015-02-02T00:00:00Z","timestamp":1422835200000},"content-version":"vor","delay-in-days":32,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,1]]},"abstract":"Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n We describe an unusual durability of a Hancock II porcine bioprosthesis in tricuspid position. Sustainability of bioprostheses is known to be limited especially in young patients.<\/jats:p>\n <\/jats:sec>\n \n Presentation of the case<\/jats:title>\n A 52-year old Caucasian woman with a history of multiple valve interventions. Her clinical presentation of dyspnoea and lower limb oedema led to the diagnosis of severe tricuspid valve stenosis and right heart failure, and was managed by the replacement of the tricuspid bioprosthesis by another bioprosthesis 30-years after the initial implantation.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Calcification is the leading cause of bioprosthesis structural deterioration. This immune\u2013induced phenomenon is more pronounced in young patients. Although several patient-related and valve-related factors influence the durability of a xenograft, unknown factors may be of some importance.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n To our knowledge, this is the first report of a 30-year durability of tricuspid bioprosthesis in a young recipient. In the absence of extensive calcifications, pannus formation covering the whole prosthesis, peculiar hemodynamics and other unknown factors might have contributed to an extended durability in this young patient.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2015.01.052","type":"journal-article","created":{"date-parts":[[2015,2,7]],"date-time":"2015-02-07T09:50:06Z","timestamp":1423302606000},"page":"158-160","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Unusual 30-year durability of Hancock II porcine bioprosthesis in tricuspid position"],"prefix":"10.1097","volume":"8","author":[{"given":"Bachar","family":"El Oumeiri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fr\u00e9d\u00e9ric Vanden","family":"Eynden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guido Van","family":"Nooten","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-45-20260114","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/S0022-5223(19)37322-2","article-title":"Continuing improvements in valvular bioprostheses","volume":"83","author":"Carpentier","year":"1982","journal-title":"J. Thorac. Cardiovasc. Surg"},{"key":"R2-45-20260114","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/S0022-5223(02)73618-0","article-title":"Long-term durability of the Hancock II porcine bioprosthesis","volume":"126","author":"Rizzoli","year":"2003","journal-title":"J. Thorac. Cardiovasc. Surg"},{"key":"R3-45-20260114","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1067\/mtc.2001.112208","article-title":"Late results of heart valve replacement with the Hancock II bioprosthesis","volume":"121","author":"David","year":"2001","journal-title":"J. Thorac. Cardiovasc. Surg"},{"key":"R4-45-20260114","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.ejcts.2010.01.046","article-title":"The fate of the Hancock II porcine valve recipients 25 years after implantation","volume":"38","author":"Valfr\u00e9","year":"2010","journal-title":"Eur. J. Cardiothorac. Surg"},{"key":"R5-45-20260114","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1007\/s005950050191","article-title":"Long-term results of porcine bioprostheses in the tricuspid position","volume":"28","author":"Kuwaki","year":"1998","journal-title":"Surg. Today"},{"key":"R6-45-20260114","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1111\/j.1540-8191.2006.00286.x","article-title":"The role of pannus in the longevity of an Ionescu-Shiley pericardial bioprosthesis","volume":"21","author":"Butany","year":"2006","journal-title":"J. Card. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261215000656?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261215000656?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201508000-00045","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:34:05Z","timestamp":1768397645000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201508000-00045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1]]},"references-count":6,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2015.01.052","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2015,1]]}}}