Echocardiographic and clinical features of patients developing prosthesis-patient mismatch after transcatheter aortic valve replacement: Insights from the Recovery-TAVR registry.
Francesco BrunoJoao Matteo RamponeFabian IslasRiccardo GorlaGuglielmo GalloneFrancesco MelilloPier Pasquale LeonePaolo CimagliaMaria Concetta PastoreAnna FranzoneFederico LandraLuca ScudelerPilar Jimenez-QuevedoTommaso VivaFrancesco PiroliRenato BragatoMichele TrichiloAnna DegiovanniStefano SalizzoniFederica IlardiAlessandro AndreisLuis Nombela-FrancoMaurizio TusaMarco ToselliFederico ConrottoMatteo MontorfanoRachele ManzoMatteo CameliGiuseppe PattiGiulio StefaniniLuca TestaMichele La TorreFrancesco GianniniEustachio AgricolaJavier EscanedOvidio De FilippoGaetano M De FerrariFabrizio D'AscenzoPublished in: American heart journal (2024)
PPM was observed in 18% of patients undergoing TAVR. Echocardiographic evaluations demonstrated a PPM-related pattern of early ventricular maladaptive alterations, possibly precursor to a reduction in cardiac function, associated with a significant deterioration in NYHA class at 1 year. These findings emphasize the importance of prevention of PPM of any grade in patients undergoing TAVR procedure, especially in populations at risk.