Prosthesis-Patient Mismatch After Aortic Valve Replacement: Impact of Age and Body Size on Late Survival Marc R. Moon, MD, Michael K. Pasque, MD, Nabil.

Slides:

Advertisements

Similar presentations

Todd M. Dewey, MD, David L. Brown, MD, Tony S. Das, MD, William H

Advertisements

Twenty-Five Year Experience With the St

High Risk of Prosthetic Valve Endocarditis and Death After Valve Replacement Operations in Dialysis Patients Danielle K. Farrington, MD, Patrick D. Kilgo,

What Predicts Long-Term Survival After Heart Transplantation

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Magnitude of Negative Impact of Preoperative Heart Failure on Mortality During Aortic Valve Replacement in the Medicare Population Christina M. Vassileva,

Unusual Gastrointestinal Bleeding After Sutureless Aortic Valve Replacement: A Word of Caution Jules Iquille, MD, Joseph Nader, MD, Eric Colpart, MD,

Jason O. Robertson, MD, Phillip S. Cuculich, MD, Lindsey L

Long-Term Outcomes After Isolated Aortic Valve Replacement in Octogenarians: A Modern Perspective Vinod H. Thourani, MD, Richard Myung, MD, Patrick Kilgo,

Robert L. Smith, MD, Morley A. Herbert, PhD, Todd M

Hancock II Bioprosthesis for Aortic Valve Replacement: The Gold Standard of Bioprosthetic Valves Durability? Tirone E. David, MD, Susan Armstrong, MS,

Jiro Esaki, MD, PhD, Bradley G. Leshnower, MD, Jose N

Andreas Zierer, MD, Spencer J. Melby, MD, Rochus K

Long-Term Consequences of Postoperative Heart Failure After Surgery for Aortic Stenosis Compared With Coronary Surgery Farkas B. Vánky, MD, PhD, Erik.

John M. Fallon, MD, Joseph P. DeSimone, MD, J

Michael E. Halkos, MD, Patrick Kilgo, MS, Omar M

Surgical Removal and Replacement of Chronically Implanted Transcatheter Aortic Prostheses: How I Teach It Abeel A. Mangi, MD, Mahesh Ramchandani, MD,

Michael L. Bailey, MBBS, Sven M. Richter, MD, Daniel V

Long-Term Follow-Up After Thoracoabdominal Aortic Aneurysm Repair

Outcomes of Early Mitral Valve Reoperation in the Medicare Population

Varun Puri, MD, Andrew Tran, MS, Jennifer M. Bell, BS, Traves D

Factors Affecting Survival After Mitral Valve Replacement in Patients With Prosthesis– Patient Mismatch Abdulhameed Aziz, MD, Jennifer S. Lawton, MD,

Sergey Leontyev, MD, Thomas Walther, MD, PhD, Michael A

Long-Term Outcomes of the Mosaic Bioprosthesis

Options for repair of a bicuspid aortic valve and ascending aortic aneurysm Thoralf M Sundt, MD, Bassem N Mora, MD, Marc R Moon, MD, Marci S Bailey, MSN,

Jennifer S. Lawton, MD, Nader Moazami, MD, Michael K

Radial Artery Grafts in Women: Utilization and Results

Who Do You Say You Are? The Annals of Thoracic Surgery

Expanding Indications for Valve-Sparing Aortic Root Reconstruction: Early and Midterm Results Johanna Valo, BM, Janne J. Jokinen, MD, PhD, Markku Kaarne,

Risk-corrected impact of mechanical versus bioprosthetic valves on long-term mortality after aortic valve replacement Ole Lund, MD, PhD, Martin Bland,

Which Patients Benefit From Stentless Aortic Valve Replacement?

Robert J. Moraca, MD, Marc R. Moon, MD, Jennifer S

The “Double-Valve” Sign in Acute Type A Aortic Dissection

Learning Alternative Access Approaches for Transcatheter Aortic Valve Replacement: Implications for New Transcatheter Aortic Valve Replacement Centers

Andreas Zierer, MD, Rochus K. Voeller, MD, Karen E

Use of Amiodarone After Major Lung Resection

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Transcatheter Aortic Valve Replacement: How I Teach It

John M. Stulak, MD, Joseph A. Dearani, MD, Harold M

Redo Aortic Valve Replacement in Children

Robert W. Emery, MD, Christopher C. Krogh, Kit V. Arom, MD, PhD, Ann M

Andreas Zierer, MD, Marc R. Moon, MD, Spencer J

Editorial Board, January 2010

Mohammad A. Zafar, MBBS, Emily A

Juan G. Penaranda, MD, Kevin L. Greason, MD, Sorin V

Surgical Treatment of Aortic Prosthetic Valve Endocarditis: A 20-Year Single-Center Experience Sossio Perrotta, MD, Anders Jeppsson, MD, PhD, Victoria.

Scott P. Kaiser, BS, Spencer J

Minimally Invasive Surgical Aortic Valve Replacement Through a Right Anterior Thoracotomy: How I Teach It Mahesh K. Ramchandani, MD, Moritz C. Wyler.

Effect of Prosthesis-Patient Mismatch on Long-Term Survival With Aortic Valve Replacement: Assessment to 15 Years W.R. Eric Jamieson, MD, Jian Ye, MD,

Outcome of Patients With Aortic Stenosis Referred to a Multidisciplinary Meeting for Transcatheter Valve Marjan Jahangiri, FRCS, Jean Claude Laborde,

Mitroflow Synergy Prostheses for Aortic Valve Replacement: 19 Years Experience With 1,516 Patients Kazutomo Minami, MD, Armin Zittermann, PhD, Sebastian.

The Annals of Thoracic Surgery

Cost-Effectiveness of Mitral Valve Repair Versus Replacement by Biologic or Mechanical Prosthesis Ariel Beresniak, MD, PhD, Brigitte Sabatier, PharmD,

Defining Patient-Prosthesis Mismatch and Its Effect on Survival in Patients With Impaired Ejection Fraction David A. Cotoni, DO, Robert T. Palac, MD,

Invited Commentary The Annals of Thoracic Surgery

Composite Valve Graft Replacement of the Aortic Root: Twenty-Seven Years of Experience at One Japanese Center Tomohiro Tsunekawa, MD, Hitoshi Ogino,

Todd M. Dewey, MD, David L. Brown, MD, Tony S. Das, MD, William H

The Risk and Outcomes of Reoperative Tricuspid Valve Surgery

Patient-Prosthesis Mismatch After Mitral Valve Replacement: A Propensity Score Analysis Ho Young Hwang, MD, PhD, Yong Han Kim, MD, Kyung-Hwan Kim, MD,

Potassium and Magnesium Supplementation Do Not Protect Against Atrial Fibrillation After Cardiac Operation: A Time-Matched Analysis Timothy S. Lancaster,

Influence of Prosthesis–Patient Mismatch on Diastolic Heart Failure After Aortic Valve Replacement Shahab Nozohoor, MD, Johan Nilsson, MD, PhD, Carsten.

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Minoru Tabata, MD, MPH, Hiroo Takayama, MD, Michael E

Small “Functional” Size after Mechanical Aortic Valve Replacement: No Risk in Young to Middle-Age Patients Alfonso Penta de Peppo, MD, Jacob Zeitani,

The Impact of New Technology on Cardiothoracic Surgical Practice

Self-Management of Oral Anticoagulation Therapy Improves Long-Term Survival in Patients With Mechanical Heart Valve Replacement Heinrich Koertke, MD,

Slide Tracheoplasty in Infants and Children: Risk Factors for Prolonged Postoperative Ventilatory Support Peter B. Manning, MD, Michael J. Rutter, MD,

Umar S. Boston, MD, Joseph A. Dearani, MD, Patrick W

Long-Term Survival After Bovine Pericardial Versus Porcine Stented Bioprosthetic Aortic Valve Replacement: Does Valve Choice Matter? Asvin M. Ganapathi,

Early and Late Outcomes of Aortic Valve Replacement in Dialysis Patients Keisuke Tanaka, MD, Kazuyoshi Tajima, MD, Yoshiyuki Takami, MD, Noritaka Okada,

Presentation transcript:

Prosthesis-Patient Mismatch After Aortic Valve Replacement: Impact of Age and Body Size on Late Survival Marc R. Moon, MD, Michael K. Pasque, MD, Nabil A. Munfakh, MD, Spencer J. Melby, MD, Jennifer S. Lawton, MD, Nader Moazami, MD, John E. Codd, MD, Traves D. Crabtree, MD, Hendrick B. Barner, MD, Ralph J. Damiano, MD The Annals of Thoracic Surgery Volume 81, Issue 2, Pages 481-489 (February 2006) DOI: 10.1016/j.athoracsur.2005.07.084 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Numbers of bioprosthetic (solid circles) and mechanical (open circles) aortic valves implanted from 1986 to 2004 (total 2004 projected). The Annals of Thoracic Surgery 2006 81, 481-489DOI: (10.1016/j.athoracsur.2005.07.084) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Late survival estimates after aortic valve replacement for all patients (including operative deaths [solid circles]) and for operative survivors (open circles). The numbers of patients at risk at 1, 5, and 8 years are indicated. The Annals of Thoracic Surgery 2006 81, 481-489DOI: (10.1016/j.athoracsur.2005.07.084) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Impact of prosthesis-patient mismatch (PPM) on late survival after aortic valve replacement in patients less than 60 years of age (p < 0.001). The numbers of patients at risk at 1, 5, and 8 years are indicated. (Solid circles = PPM 0.75 cm2/m2 or greater; open circles = PPM less than 0.75 cm2/m2.) The Annals of Thoracic Surgery 2006 81, 481-489DOI: (10.1016/j.athoracsur.2005.07.084) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Impact of prosthesis-patient mismatch (PPM) on late survival after aortic valve replacement in patients 60 years of age or more (p = 0.95). The numbers of patients at risk at 1, 5, and 8 years are indicated. (Solid circles = PPM 0.75 cm2/m2 or greater; open circles = PPM less than 0.75 cm2/m2.) The Annals of Thoracic Surgery 2006 81, 481-489DOI: (10.1016/j.athoracsur.2005.07.084) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Impact of prosthesis-patient mismatch (PPM) on late survival after aortic valve replacement in large patients (body surface area greater than 2.1 m2; p > 0.02). The numbers of patients at risk at 1, 5, and 8 years are indicated. (Solid circles = PPM 0.75 cm2/m2 or greater; open circles = PPM less than 0.75 cm2/m2.) The Annals of Thoracic Surgery 2006 81, 481-489DOI: (10.1016/j.athoracsur.2005.07.084) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Impact of prosthesis-patient mismatch (PPM) on late survival after aortic valve replacement in average-size patients (body surface area 1.7 m2 to 2.1 m2; p < 0.001). The numbers of patients at risk at 1, 5, and 8 years are indicated. (Solid circles = PPM 0.75 cm2/m2 or greater; open circles = PPM less than 0.75 cm2/m2.) The Annals of Thoracic Surgery 2006 81, 481-489DOI: (10.1016/j.athoracsur.2005.07.084) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 7 Impact of prosthesis-patient mismatch (PPM) on late survival after aortic valve replacement in small patients (body surface area less than 1.7 m2; p = 0.66). For consistency, the numbers of patients at risk at 1, 5, and 8 years are indicated below the lines for PPM and above the lines for no PPM. (Solid circles = PPM 0.75 cm2/m2 or greater; open circles = PPM less than 0.75 cm2/m2.) The Annals of Thoracic Surgery 2006 81, 481-489DOI: (10.1016/j.athoracsur.2005.07.084) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions