Impact of mild patient prosthesis mismatch on quality of life in patients with preserved ejection fraction after isolated aortic valve replacement for aortic stenosis

Lukšić, Vlatka Rešković; Došen, Dejan; Pašalić, Marijan; Hanževački, Jadranka Šeparović

doi:10.1016/j.ijcard.2016.11.138

Cited by 6 publications

(1 citation statement)

References 22 publications

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“…These results are similar to those published by Hoffman et al, 12 who found only a difference in the physical component of the QOL survey, and by Urso et al 22 (163 patients enrolled), who found lower physical scores in older patients. Sportelli et al 4 (152 patients enrolled) and Reskovic Luksic et al 23 (46 patients included) failed to demonstrate a difference in QOL for patients who have PPM. Once again, neither of these studies performed subanalyses for biological or mechanical prostheses.…”

Section: Discussionmentioning

confidence: 97%

Clinical Impact of Patient-Prosthesis Mismatch After Aortic Valve Replacement With a Mechanical or Biological Prosthesis

Matkovic,

Aleksic,

Bilbija

et al. 2023

Texas Heart Institute Journal

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Background Patient-prosthesis mismatch (PPM) may impair functional capacity and survival after aortic valve replacement. This study aimed to investigate the impact of PPM on long-term survival and quality of life after mechanical and biological aortic valve replacement. Methods This study included 595 consecutive patients who had undergone isolated aortic valve replacement. Patients were divided into 2 groups according to prosthesis type. The baseline and operative characteristics, survival rates, complications, and quality of life of the groups with and without PPM were compared for up to 6 years. The PPM calculation was performed using the effective orifice area value provided by the manufacturer divided by the patient's body surface area. Results The moderate to severe PPM rates were 69.8% and 3.7% after biological and mechanical prosthesis implantation, respectively. Mean survival for patients in the biological group who had PPM was statistically significantly shorter (50.2 months [95% CI, 45.2-55.3]) than for patients in the biological group without PPM (60.1 months [95% CI, 55.7-64.4]; P = .04). In the mechanical prosthesis group, there was no difference in mean survival between the subgroup with PPM (66.6 months [95% CI, 58.3-74.9]) and the subgroup without PPM (64.9 months [95% CI, 62.6-67.2]; P = .50). A quality-of-life questionnaire's scores did not differ between the groups. Conclusion Mismatch is common after biological valve implantation and statistically significantly affects long-term survival and quality of life. If the risk of PPM after implantation of a biological prosthesis is suspected, adopting strategies to avoid PPM at the time of surgery is warranted.

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Section: Discussionmentioning

confidence: 97%

Clinical Impact of Patient-Prosthesis Mismatch After Aortic Valve Replacement With a Mechanical or Biological Prosthesis

Matkovic,

Aleksic,

Bilbija

et al. 2023

Texas Heart Institute Journal

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Surgery for symptomatic aortic stenosis in the elderly: Still an excellent option

Antunes

2019

Revista Portuguesa de Cardiologia

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Surgery for symptomatic aortic stenosis in the elderly: Still an excellent option

Antunes

2019

Revista Portuguesa de Cardiologia (English Edition)

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Impact of mild patient prosthesis mismatch on quality of life in patients with preserved ejection fraction after isolated aortic valve replacement for aortic stenosis

Cited by 6 publications

References 22 publications

Clinical Impact of Patient-Prosthesis Mismatch After Aortic Valve Replacement With a Mechanical or Biological Prosthesis

Clinical Impact of Patient-Prosthesis Mismatch After Aortic Valve Replacement With a Mechanical or Biological Prosthesis

Surgery for symptomatic aortic stenosis in the elderly: Still an excellent option

Surgery for symptomatic aortic stenosis in the elderly: Still an excellent option

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