Does patient–prosthesis mismatch after aortic valve replacement affect survival and quality of life in elderly patients?

Abstract

PPM after AVR does not affect survival, functional status, and QoL in patients aged at least 75 years. Surgical procedures, often time-consuming, contemplated to prevent PPM, may therefore be not justified in this patient subgroup.

Quality of life in patients with coronary artery disease treated with coronary artery bypass grafting and hybrid coronary revascularization

“…There are two types of questionnaires: generic and disease-specific. One of the most widely used generic health status instruments to assess HRQoL is the Medical Outcomes Study Short Form (SF-36) questionnaire and it has been studied in many populations, also in patients with CAD and valvular heart disease [5][6][7][8][9]. Many studies have shown that coronary artery bypass grafting (CABG) is a favorable method of revascularization in patients with multivessel CAD (MVCAD).…”

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

“…PPM is a common finding after AVR. It is mostly mild to moderate, with incidence ranging in studies from 20% to 70%, while severe PPM is rare (2%-11% in studies) (2,(5)(6)(7)(8). In our study, 57% pts had PPM, categorized as mild to moderate.…”

“…PPM is generally a relatively common finding, found in up to 70% AVR procedures (2,(5)(6)(7)(8). If the EOA/BSA ratio is <0,85cm2/m2, PPM is defined as mild or moderate, and as severe if the EOA/BSA ratio is <0,65cm2/m2 (2).…”

“…In some studies, PPM did impact long term survival and cardiac related deaths (9-11) whereas in other there was no significant difference comparing to no PPM patients (8,(11)(12). Studies are more uniform regarding functional capacity, with no difference comparing to no PPM patients, especially in the elderly (5,7,(12)(13)(14)(15)(16).…”

Quality of life after aortic valve replacement with biological prostheses in elderly patients

“…В условиях постоянного и устойчивого роста количества оперативных вмешательств у пациентов пожилого возраста несомненна необходимость анализа как социально-адаптивного, так и психологического и физического состояния пролеченных. Улучшение качес-тва жизни пожилых пациентов, подвергшихся протези-рованию аортального клапана, продемонстрировано раз-ными авторами [16][17][18]. Анализ качества жизни пациента ставит во главу угла лечение пациента, а не заболевания.…”