@article {Lytle369, author = {Bruce W. Lytle and Delos M. Cosgrove and Judith Borsh and Lon A. Castle and Floyd D. Loop}, title = {Mitral valve replacement}, volume = {52}, number = {3}, pages = {369--373}, year = {1985}, publisher = {Cleveland Clinic Journal of Medicine}, abstract = {Records of the first 100 patients surviving operation for total mitral valve replacement at The Cleveland Clinic Foundation (1962-1964) were reviewed to determine long-term results. After 20 years, 15 patients were still alive, but 13 had sustained a major cardiac event. Complications related to lack of anticoagulant therapy for patients with mechanical prostheses were frequent. No patient-related variable examined appeared to preclude 20-year survival.}, issn = {0891-1150}, URL = {https://www.ccjm.org/content/52/3/369}, eprint = {https://www.ccjm.org/content/52/3/369.full.pdf}, journal = {Cleveland Clinic Journal of Medicine} }