Commentary: Epic Supra Valve Just As Good for Pulmonary Valve Replacement - but is It Good Enough?

Use of the St Jude Epic Supra valve for pulmonary valve replacements in the congenital heart defect population has noninferior outcomes compared to current acceptable options. Durability of the St. Jude Epic Supra Bioprosthetic Valve in the Pulmonary PositionSeminars in Thoracic and Cardiovascular SurgeryVol. 33Issue 1PreviewEpic Supra valves have been used off-label in the pulmonary position. We aim to evaluate the durability of Epic valves in the pulmonary position. We performed a retrospective review of all Epic valves placed in the pulmonary position from October 2008 to May 2019. Time-to-event analysis was performed using Kaplan-Meier estimates to evaluate freedom from valve intervention, moderate pulmonary regurgitation, and peak velocity greater than 3.5 m/s. Valve dysfunction was a composite of all 3 end points. Full-Text PDF