Kardiologie up2date, Table of Contents Kardiologie up2date 2013; 09(04): 255-259DOI: 10.1055/s-0033-1359195 Hotline – Herzklappenerkrankungen © Georg Thieme Verlag KG Stuttgart · New YorkBioprothesen, mechanische Klappen, Bio-engineered-Klappen – Update 2013 Authors Axel Haverich Recommend Article Abstract Buy Article(opens in new window) All articles of this category(opens in new window) Abstract Significant changes have been seen in surgical access and substitutes of heart valve patients, recently. The „Ross Procedure“ has lost some attractiveness, and minimal access as well as interventional techniques are becoming more often used. Sutureless aortic valves safe time during open heart surgery and first tissue engineered valve have been explored clinically. Full Text References Literatur 1 Beckmann A, Funkat AK, Lewandowski J et al. Cardiac Surgery in Germany during 2012: A Report on Behalf of the German Society for Thoracic and Cardiovascular Surgery. 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