DOI QR코드

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The Prognostic Significance of Patient-Prosthesis Mismatch after Aortic Valve Replacement

  • Nardi, Paolo (Cardiac Surgery Division, Tor Vergata University Policlinic of Rome) ;
  • Russo, Marco (Cardiac Surgery Division, Tor Vergata University Policlinic of Rome) ;
  • Saitto, Guglielmo (Cardiac Surgery Division, Tor Vergata University Policlinic of Rome) ;
  • Ruvolo, Giovanni (Cardiac Surgery Division, Tor Vergata University Policlinic of Rome)
  • 투고 : 2017.12.18
  • 심사 : 2018.02.07
  • 발행 : 2018.06.05

초록

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.

키워드

참고문헌

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피인용 문헌

  1. Aortic valve-in-valve implantation requiring valve fracturing via a subclavian access : new insights with a word of caution vol.20, pp.11, 2018, https://doi.org/10.2459/jcm.0000000000000861
  2. Aortic Valve Replacement in Elderly Patients With Small Aortic Annulus: Results With Three Different Bioprostheses vol.14, pp.1, 2018, https://doi.org/10.1177/1556984519826430