Reducing Prosthesis-Patient Mismatch With Edwards Magna Prosthesis for Aortic Valve Replacement

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Patient-prosthesis mismatch in patients with aortic valve replacement

OBJECTIVE Patient-prosthesis mismatch (PPM) may affect clinical outcomes in patients with aortic valve replacement (AVR). We retrospectively examined the PPM in patients with isolated AVR in the Japan Adult Cardiovascular Surgery Database (JACVSD). METHODS We examined all patients with isolated AVR between January 1, 2008 and December 31, 2009. The JACVSD data collection form has a total of 2...

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Prosthesis-patient mismatch after "high-risk" aortic valve replacement.

S ince the initial description of prosthesispatient mismatch (PPM) more than 3 decades ago (1), the clinical import of PPM after surgical aortic valve replacement (SAVR) has been debated in the surgical published data. The phenotypic manifestation of PPM is an elevated aortic valve gradient after valve implantation. Although a number of indices have been used to characterize the frequency of PP...

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Prosthesis-patient mismatch affects survival after aortic valve replacement.

BACKGROUND Surgeons traditionally avoid the use of "small" aortic prostheses because of the potential for residual left ventricular outflow tract obstruction and persistent transvalvular gradients. This study examines the ratio between prosthetic valve size and the body surface area (BSA) of patients undergoing aortic valve replacement (AVR). We sought to determine the effect of potential "pros...

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Prosthesis-patient mismatch in the transcatheter aortic valve replacement era.

In an insightful report in 1978, Rahimtoola (1) pointed to the fact that “mismatch can be considered to be present when the effective prosthetic valve area, after insertion into the patient, is less than that of a normal human valve.” He recognized that most patients have some residual aortic stenosis after aortic valve replacement and suggested that moderate or severe residual aortic stenosis ...

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moderate patient-prosthesis mismatch has no negative effect on patients’ functional status after aortic valve replacement with carbomedics prosthesis

conclusions moderate ppm has no negative effect on echocardiographic trans-aortic pressure gradients or the patients’ nyha functional status after avr with a carbomedics prosthesis in the mid-term follow up. results of the 66 studied patients, 39 were male and 27 were female. the mean age of the patients was 43 ± 17 with a range of 6 - 76 years. implanted sizes of the carbomedics av prosthesis ...

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ژورنال

عنوان ژورنال: Circulation Journal

سال: 2017

ISSN: 1346-9843,1347-4820

DOI: 10.1253/circj.cj-16-0768