| CPC A61L 27/507 (2013.01) [A61F 2/2412 (2013.01); A61F 2/2415 (2013.01); A61F 2/2475 (2013.01); A61L 27/3625 (2013.01)] | 20 Claims |

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1. A method to repair deep vein insufficiencies, comprising the steps of:
creating a fenestration in a host vein in the region of a malfunctioning valve, wherein the fenestration has a shape corresponding to a patch for a replacement valve; and
closing the fenestration after forming a monocusp venous valve using a patch of contiguous tissue,
wherein said patch is excised from a patch of contiguous xenogeneic heart valve tissue comprising the natural sinus, and wherein the patch of contiguous xenogeneic heart valve tissue comprising the natural sinus is configured so that the natural sinus provides a spatial buffer between a free edge of the noncoronary leaflet and a valve wall that facilitates opening and closing of the noncoronary leaflet based on flow pressure through the valve.
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