Patient-Prosthesis Mismatch Worsens Long-Term Survival: Insights From the FinnValve Registry

Dahlbacka, Sebastian; Laakso, Teemu; Kinnunen, Esko; Moriyama, Noriaki; Laine, Mika; Virtanen, Marko; Maaranen, Pasi; Ahvenvaara, Tuomas; Tauriainen, Tuomas; Husso, Annastiina; Jalava, Maina P.; Jaakkola, Samuli; Airaksinen, Juhani; Valtola, Antti; Niemelä, Matti; Mäkikallio, Timo H.; Eskola, Markku; Vento, Antti; Juvonen, Tatu; Biancari, Fausto; Raivio, Peter

doi:10.1016/j.athoracsur.2020.06.026

Cited by 16 publications

(14 citation statements)

References 29 publications

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“…Recent data from the Finnish valve registry on 4097 patients who underwent SAVR with a stented bioprosthesis [8], showed a severe PPM rate, using the same IEOA cut-off value of 7.2%.…”

Section: Patient Prosthesis Mismatch and Structural Vale Deterioratio...mentioning

confidence: 99%

Why Does the NOTION Trial Show Poorer than Expected Outcomes in the Surgical Arm?

Urso

Sádaba

Nogales

et al. 2022

Hearts

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“…Recent data from the Finnish valve registry on 4097 patients who underwent SAVR with a stented bioprosthesis [8], showed a severe PPM rate, using the same IEOA cut-off value of 7.2%.…”

Section: Patient Prosthesis Mismatch and Structural Vale Deterioratio...mentioning

confidence: 99%

Why Does the NOTION Trial Show Poorer than Expected Outcomes in the Surgical Arm?

Urso

Sádaba

Nogales

et al. 2022

Hearts

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“…There is some controversy around the clinical relevance of PPM, especially when mild or moderate in severity. 5 This study also does not address whether symptoms accompanied those with severe PPM, but presumably, they were minimal since all those included could participate in exercise echocardiography.…”

Section: Commentarymentioning

confidence: 99%

Commentary: Another layer to the “PPM conundrum”

Young

Strobel

Krön

2022

Journal of Cardiac Surgery

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How do manufacturer estimates of valve performance match up to reality and stress testing? We are reviewing a manuscript by Porterie et al. in the Journal of Cardiac Surgery detailing a single-center, assessment of Avalus™ bioprosthetic valve hemodynamics during stress echocardiography. At maximal stress, they found that indexed effective orifice area had better alignment with manufacturer estimates than measurements at rest. In addition, they found a significant difference between EOA and flow rates at rest versus maximal exertion and quantified it as the "opening reserve." Patients without patient prosthetic mismatch had much higher opening reserves. This interesting study helps us to understand how estimates align with reality and draws attention to the concept of the opening reserve. Could differences in opening flow impact the durability or longevity of prosthetics?

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“…While some authors found PPM to be associated with adverse early and/or late outcome, others did not find any negative influence [3][4][5][6][7][8][9][10][11][12]. In addition, PPM may also preclude regression of left ventricular hypertrophy [13,14].…”

Section: Prosthesis-patient Mismatch and Early And Late Outcome After...mentioning

confidence: 99%

“…PPM is not an uncommon finding following surgical aortic valve replacement (SAVR), as it is described in up to 20-30% of the cases in series following surgical but also transcatheter aortic valve replacement (TAVR) [1][2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

The Konno procedure to treat prosthesis-patient mismatch and complex left ventricular outflow tract obstruction in adult patients

Pugnale

Mihalj²,

Schmidli³

et al. 2022

Cardiovasc Med

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Patient-Prosthesis Mismatch Worsens Long-Term Survival: Insights From the FinnValve Registry

Cited by 16 publications

References 29 publications

Why Does the NOTION Trial Show Poorer than Expected Outcomes in the Surgical Arm?

Why Does the NOTION Trial Show Poorer than Expected Outcomes in the Surgical Arm?

Commentary: Another layer to the “PPM conundrum”

The Konno procedure to treat prosthesis-patient mismatch and complex left ventricular outflow tract obstruction in adult patients

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Patient-Prosthesis Mismatch Worsens Long-Term Survival: Insights From the FinnValve Registry

Cited by 16 publications

References 29 publications

Why Does the NOTION Trial Show Poorer than Expected Outcomes in the Surgical Arm?

Why Does the NOTION Trial Show Poorer than Expected Outcomes in the Surgical Arm?

Commentary: Another layer to the “PPM conundrum”

The Konno procedure to treat ­prosthesis-patient mismatch and complex left ventricular outflow tract obstruction in adult patients

Contact Info

Product

Resources

About

The Konno procedure to treat prosthesis-patient mismatch and complex left ventricular outflow tract obstruction in adult patients