Pasquale Totaro, MD, Vincenzo Argano, MD

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Presentation transcript:

Patient–prosthesis mismatch after mitral valve replacement: Myth or reality? Pasquale Totaro, MD, Vincenzo Argano, MD The Journal of Thoracic and Cardiovascular Surgery Volume 134, Issue 3, Pages 697-701 (September 2007) DOI: 10.1016/j.jtcvs.2007.04.031 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Comparison between preoperative predicted EOA and EOAI based on in vitro value published by the manufacturer and in vivo value measured postoperatively. B, Comparison between preoperative predicted EOA and EOAI in patients receiving size 25 and 27 prostheses. EOA, Effective orifice area; EOAI, indexed effective orifice area. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 697-701DOI: (10.1016/j.jtcvs.2007.04.031) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Comparison between preoperative predicted PPM based on in vitro value published by the manufacturer and in vivo PPM measured postoperatively (specificity 31%, sensitivity 6%). PPM, Patient–prosthesis mismatch. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 697-701DOI: (10.1016/j.jtcvs.2007.04.031) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Linear regression: No significant correlation is shown between increased size of bioprosthesis implanted and postoperative hemodynamic performance. Left, Postoperative pressure gradient. Right, Postoperative EOA. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 697-701DOI: (10.1016/j.jtcvs.2007.04.031) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions