Hemodynamically significant prosthesis-patient mismatch can be predicted and is associated with early prosthetic valve dysfunction in aortic bioprosthesis.
Ricardo RonderosMaría Teresa PolitiMariana Cecilia MahiaMaría Florencia CastroAgustina SciancaleporeFranklin Cueva TorresPaola KuschnirMaría de la Paz RicapitoJuan Mariano VrancicMariano CamporrotondoFernando PiccininiDaniel NaviaPublished in: Echocardiography (Mount Kisco, N.Y.) (2021)
Predicted PPM identifies the presence, possibly not the severity, of actual postoperative PPM. Moderate or severe PPM is associated with prosthetic valve dysfunction. Actual postoperative prosthesis-patient mismatch measured within 60 postoperative days showed a distinctive hemodynamic profile and presented a stronger association with prosthetic valve dysfunction than predicted prosthesis-patient mismatch. A. Echocardiographic follow-up in patients according to the actual postoperative PPM measured within 60 postoperative days. B. Prediction of prosthetic valve dysfunction based on preoperative predicted PPM or on actual postoperative PPM within 60 postoperative days. PPM: prosthesis-patient mismatch. OR: Odds ratio.
Keyphrases
- patients undergoing
- aortic valve
- mitral valve
- case report
- oxidative stress
- aortic stenosis
- ejection fraction
- end stage renal disease
- transcatheter aortic valve replacement
- chronic kidney disease
- heart failure
- gene expression
- high intensity
- pulmonary hypertension
- prognostic factors
- dna methylation
- patient reported
- pulmonary artery