Impact of valve size, predicted effective and indexed effective orifice area after aortic valve replacement.
aortic valve replacement
effective orifice area
indexed effective orifice area
patient prosthesis mismatch
patient prosthesis mismatchpatient prosthesis mismatchpatient prosthesis mismatch
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
10
08
2020
revised:
30
11
2020
accepted:
06
12
2020
pubmed:
12
1
2021
medline:
15
5
2021
entrez:
11
1
2021
Statut:
ppublish
Résumé
The impact of manufacturer labeled prosthesis size and predicted effective orifice area (EOA) on long-term survival after aortic valve replacement is not clear although indexed effective orifice area (iEOA) has been associated with worse survival. Data was retrospectively collected from Jan 2000-Dec 2019 for prosthesis type, model, and size for isolated aortic valve replacements. Stratified survival was compared between groups and subgroups for labeled valve size, EOA and predicted patient prosthesis mismatch (PPM). A total of 3444 patients were included. Moderate and severe PPM was 15.6% and 1.6%, respectively. Cumulative lifetime hazard was worse for biological valves (mortality: biological 77.7% vs. mechanical 64.8%, p = .001). Moderate prosthetic aortic stenosis (AS), (EOA = 1-1.5 cm Predicted prosthetic moderate to severe AS and moderate to severe PPM adversely affect long term survival. Smaller valves are associated with reduced survival.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
961-968Informations de copyright
© 2021 Wiley Periodicals LLC.
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