Performance at 10 years of the CarboMedics ‘Top-Hat’ valve. Postclamping time is a predictor of mortality

Abstract

Using the CarboMedics supraannular prosthesis allows implantation of a larger prosthesis without increasing valve-related complications. Postclamping time appears as a strong predictor of both hospital mortality and late cardiac-related death.

The CarboMedics supra-annular Top Hat valve improves long-term left ventricular mass regression

“…[20][21][22] Nevertheless, other investigators have claimed that patients with PPM have similar early and late postoperative survival rates. [23][24][25][26] In our series, only 2 patients presented with severe PPM; however, moderate PPM was predicted in 48.4% of the patients. However, Cox regression analysis did not identify an EOAi of 0.85 cm 2 /m 2 as an independent predictor of mortality.…”

Combined Mitral and Tricuspid Valve Repair in Rheumatic Valve Disease

“…Postclamping time was defined as the interval between the release of the aortic clamp and the end of cardiopulmonary bypass. 11 An intraaortic counterpulsation balloon was implanted in 4 patients.…”

Midterm Evaluation of Hemodynamics of the Top Hat Supraannular Aortic Valve

“…Long-term clinical follow-up in patients with a Top Hat supraannular aortic valve or a standard intraannular valve have demonstrated that both devices are highly reliable, with no structural failures and a low incidence of valve-related complications. 19,20 Our postoperative functional results show that these patients continue to exhibit excellent hemodynamic performance late after AVR. Based on these functional results, we concluded that use of the Top Hat valve offers potential benefit to many eligible candidates, especially those with a small VAJ.…”