The Prognostic Significance of Patient-Prosthesis Mismatch after Aortic Valve Replacement.
10.5090/kjtcs.2018.51.3.161
- Author:
Paolo NARDI
1
;
Marco RUSSO
;
Guglielmo SAITTO
;
Giovanni RUVOLO
Author Information
1. Cardiac Surgery Division, Tor Vergata University Policlinic of Rome, Italy. mar.russo1987@gmail.com
- Publication Type:Review
- Keywords:
Aortic valve replacement;
Patient-prosthesis mismatch;
Prognostic significance
- MeSH:
Aortic Valve*;
Humans;
Mortality;
Prognosis;
Prostheses and Implants;
Thoracic Surgery
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2018;51(3):161-166
- CountryRepublic of Korea
- Language:English
-
Abstract:
Patient-prosthesis mismatch (PPM) is a controversial issue in current clinical practice. PPM has been reported to have a negative impact on patients' prognosis after aortic valve replacement in several studies, showing increased all-cause and cardiac mortality. Moreover, a close relationship has recently been described between PPM and structural valve deterioration in biological prostheses. In patients at risk for PPM, several issues should be considered, and in the current era of cardiac surgery, preoperative planning should consider the different types of valves available and the various surgical techniques that can be used to prevent PPM. The present paper analyses the state of the art of the PPM issue.
