Impact of aortic prosthesis-patient mismatch on left ventricular mass regression

Alassal, Mohamed; Ibrahim, Bedir M.; Elsadeck, Nabil

doi:10.1177/0218492313500499

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Coronary artery stenosis post valve surgery is a rare entity in cardiac surgery, with incidence anywhere between 0.3 and 5% [1,6]. Initially described by Roberts and Morrow in 1967, during the postmortem histological analysis of coronary arteries in patients who had undergone AVR, it is now a recognized phenomenon as a cause of postoperative angina and ventricular impairment developing in individuals post valve-surgery with preoperative normal coronary arteries [2,7,8].…”

Section: Discussionmentioning

confidence: 99%

Coronary Artery Occlusion

Bauchner¹

2011

JAMA

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Section: Discussionmentioning

confidence: 99%

Coronary Artery Occlusion

Bauchner¹

2011

JAMA

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“…This method has definitive advantages, a reproducible, safe, and effective procedure. This will provide a clinical benefit to our patients, as well as advance our specialty [16,19]. Adoption rates are low due to complacency with conventional sternotomy techniques and the rapidly changing health care environment.…”

Section: Minimally Invasive Aortic Valve Replacement Via Right Mini-tmentioning

confidence: 99%

Minimally Invasive Aortic Valve Replacement via Right Mini-thoracotomy versus Conventional Full Median Sternotomy: Tertiary Center Experience

Alassal¹,

Saffan²,

Mofreh³

et al. 2018

AJCTS

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Introduction: Minimally invasive approach to Aortic Valve Replacement (AVR) is increasingly accepted as a valid alternative to full sternotomy approach, as to reduce operative trauma with the final aim to improve post-operative outcomes. The aim of this work is to evaluate the feasibility of minimally invasive aortic valve surgery through a right mini-thoracotomy, and hence to minimize the surgical access to achieve better cosmetic results, less postoperative discomfort and faster recovery while maintaining the same level of safety and favorable results as with conventional surgery. Methods: In this study a 150 patients with Aortic Valve Disease (AVD) requiring aortic valve surgery were none randomly selected. The study was performed at Benha University Hospital & the Armed Forces Hospitals. Seventy five patients underwent aortic valve surgery by traditional median sternotomy with central cannulation (group B), the other seventy five patients by right mini-thoracotomy on 2 nd or 3 rd right intercostal space with peripheral femoral cannulation (group A). Endpoints were overall postoperative complications, major adverse cardiac related complications, use of blood products and need for transfusions, bypass time and cross clamp time, ventilation time and length of hospital-stay. Results: Minimally invasive AVR was associated with a significant reduction in need for blood and blood products transfusions, as well as postoperative cardiac and non-cardiac complications. Post-operative pain was significantly reduced in the mini-invasive group, a trend to lower mean ventilation times, ICU stay and hospital-stay in the miniinvasive group was also detected. Conclusion: Minimally invasive aortic valve surgery has evolved into a well tolerated, efficient surgical treatment option in experienced centers, providing greater patient satisfaction and lower complication rates. Potential advantages of Minimally Invasive Aortic Valve Replacement (MIAVR) arise from the concept that patient morbidity and potential mortality could be reduced without compromising the excellent results of the conventional procedure and include improved cosmetic results, safer access in the case of re-operation, less postoperative bleeding, less blood transfusions, lower intensive care unit and in-hospital stays, as well as the absence of sternal wound infection.

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Aortic Valve Neocuspidization Using Xenologous Pericardium Versus Bioprosthetic Valve Replacement

Mitrev

Risteski

Todorovska

et al. 2022

The Annals of Thoracic Surgery

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Impact of aortic prosthesis-patient mismatch on left ventricular mass regression

Abstract: Prosthesis-patient mismatch leads to higher transprosthetic gradients and impaired left ventricular mass regression. A small-sized valve prosthesis does not necessarily result in prosthesis-patient mismatch, and may be perfectly adequate in patient with small body size.

Cited by 4 publications

References 15 publications

Coronary Artery Occlusion

Coronary Artery Occlusion

Minimally Invasive Aortic Valve Replacement via Right Mini-thoracotomy versus Conventional Full Median Sternotomy: Tertiary Center Experience

Aortic Valve Neocuspidization Using Xenologous Pericardium Versus Bioprosthetic Valve Replacement

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