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6±4.9 48.2±8.5 mm) and left ventricular ejection fraction (65.4%±8.7% 64.5%±8.0%) were not significantly different between the two groups (P0.05). Transthoracic Doppler echocardiography showed that the hemodynamic indexes were not significantly different between the two groups at 1 year and 3 years (P0.05). Furthermore, no significant differences were found between the two groups in hemocompatibility indexes at both 6 months and 3 years postoperatively (P0.05). The mid-term follow-up results of the CL-V bileaflet mechanical