Publications by authors named "Royston Paynter"

Article Synopsis
  • The Bentall procedure, established in 1968, effectively treats issues with the aortic valve and ascending thoracic aorta and has evolved with modifications to improve long-term outcomes.
  • The BioValsalva prosthesis enhances the Bentall operation by reconstructing the aortic valve and root anatomy using a specialized valved conduit.
  • This prosthesis consists of a collar, a skirt designed for coronary artery connections, and a main graft body, making it suitable for patients who cannot keep their original aortic valve.
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The reconstruction of the right ventricular outflow tract (RVOT) system represents a considerable challenge for both manufacturers and surgeons because the patients requiring this type of devices have a very diverse set of anatomical challenges that can lead to complications and subsequent early device failures. We conducted an indepth investigation of a porcine-valve conduit explanted from a patient following an adverse event. A control device was analyzed as a reference.

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In this study, we aimed to investigate changes to the fabric of Talent stent-grafts following implantation of aortic endografts and to determine the possible causes of fatigue and/or failure of the grafts. Six devices were explanted at reoperation (N=5) and autopsy (N=1). Selected segments were assessed nondestructively by gross observation and destructively by analyzing textile characteristics and chemical properties.

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The biodurability of the Nitinol wires used in stent-grafts retrieved from reoperations and autopsy was analyzed to assess the possible causes of fracture and/or corrosion of the stents. The Nitinol wires of six explanted devices presented a corrosion-free surface after in vivo service. The drawing lines in the control wires were still present, but neither burrs nor flakes were observed.

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