Aortic bioprosthesis: A critical review

Author(s): Ricardo E Ronderos

The wide use of bioprostheses in aortic position in younger patients to avoid anticoagulation seems as a solution for thrombosis and embolization. However, this approach generates controversy on considering the life expectancy of these patients compared to documented prosthesis durability, early thrombosis risk, and early degeneration and dysfunction. The balance between offering solutions to old problems and generating new inconveniences is still in dispute.