Prosthesis-Patient Mismatch in Bovine Pericardial Aortic Valves
Author(s) -
Satish J Chacko,
Asimul H. Ansari,
Patrick M. McCarthy,
S. Chris Malaisrie,
AdinCristian Andrei,
Zhi Li,
Richard Lee,
Edwin C. McGee,
Robert O. Bonow,
Jyothy Puthumana
Publication year - 2013
Publication title -
circulation cardiovascular imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.584
H-Index - 99
eISSN - 1942-0080
pISSN - 1941-9651
DOI - 10.1161/circimaging.112.000319
Subject(s) - medicine , aortic valve replacement , cardiology , prosthesis , aortic valve , surgery , stenosis
The prevalence of prosthesis-patient mismatch (PPM) and its impact on survival after aortic valve replacement have not been clearly defined. Historically, the presence of PPM was identified from postoperative echocardiograms or preoperative manufacturer-provided charts, resulting in wide discrepancies. The 2009 American Society of Echocardiography (ASE) guidelines proposed an algorithmic approach to calculate PPM. This study compared PPM prevalence and its impact on survival using 3 modalities: (1) the ASE guidelines-suggested algorithm (ASE PPM); (2) the manufacturer-provided charts (M PPM); and (3) the echocardiographically measured, body surface area-indexed, effective orifice area (EOAi PPM) measurement.
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