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Surgical Aortic Valve Replacement and Patient–Prosthesis Mismatch: A Meta-Analysis of 108,182 Patients

Thursday, July 18, 2019

Submitted by

Claire Vernon

Source

Source Name: European Journal of Cardio-Thoracic Surgery

Source URL: https://doi.org/10.1093/ejcts/ezy466

Author(s)

Michel Pompeu Barros de Oliveira Sá, Martinha Millianny Barros de Carvalho, Dário Celestino Sobral Filho, Luiz Rafael Pereira Cavalcanti, Sérgio da Costa Rayol, Roberto Gouvea Silva Diniz, Alexandre Motta Menezes, Marie-Annick Clavel, Philippe Pibarot, Ricardo Carvalho Lima

This meta-analysis included 70 articles reporting on more than 100,000 patients who underwent surgical aortic valve replacement. The incidence of patient-prosthesis mismatch (PPM) was 53.7%. Moderate and severe PPM was associated with higher mortality, both early and late after surgery. The authors conclude that the implementation of surgical strategies to prevent PPM are important in order to reduce mortality rates.