| Autor: |
Visan Alexandru C, Zlibut Alexandru, Ionescu Adrian, Stoica Serban C |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Romanian Journal of Cardiology, Vol 34, Iss 3, Pp 107-121 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2734-6382 |
| DOI: |
10.2478/rjc-2024-0001 |
| Popis: |
Patient-prosthesis mismatch (PPM) is the situation in which the area of an artificial valve is smaller than that of a healthy native valve it replaces. By this definition, all artificial valves demonstrate PPM, but large observational studies and several meta-analyses suggest that it is present in 30-50% of patients after surgical aortic valve replacement (SAVR). PPM has an impact on outcomes only when the indexed aortic valve area (AVAi) is ≤0.85cm2/m2 (moderate PPM) or 0.65cm2/m2 (severe PPM), particularly in patients with reduced LVEF. In transcatheter aortic valve replacement, the prevalence of PPM may be as low as 0.1%, and its impact on hard outcomes is not clear. We present a review of the relevant literature together with a framework for the differential diagnosis of increased pressure gradient and reduced area in prosthetic aortic valves and different strategies to reduce the risk of PPM with SAVR. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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