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Early hemodynamic performance of the third generation St Jude Trifecta aortic prosthesis: A systematic review and meta-analysis  Kevin Phan, BS, Hakeem.

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Presentation on theme: "Early hemodynamic performance of the third generation St Jude Trifecta aortic prosthesis: A systematic review and meta-analysis  Kevin Phan, BS, Hakeem."— Presentation transcript:

1 Early hemodynamic performance of the third generation St Jude Trifecta aortic prosthesis: A systematic review and meta-analysis  Kevin Phan, BS, Hakeem Ha, BMed, Steven Phan, BS, Martin Misfeld, MD, PhD, Marco Di Eusanio, MD, PhD, Tristan D. Yan, MBBS, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 149, Issue 6, Pages e2 (June 2015) DOI: /j.jtcvs Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 PRISMA flowchart of search strategy for studies investigating the aortic valve prosthesis. The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Pooled proportions of patients who received prostheses of the following sizes (mm): 19, 21, 23, 25, 27, and 29. Each individual point denotes the mean % reported by an included study. The 3 horizontal bars for each valve size represent median and interquartile range. The percentage above the bars is the overall proportion. The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 In patients undergoing aortic valve replacement using the prosthesis, the forest plot shows: (A) 30-day mortality; (B) cerebrovascular accidents; (C) acute kidney injury; (D) moderate patient-prosthesis mismatch; and (E) severe patient-prosthesis mismatch. C.I., Confidence interval; Ev, events number; Trt, treatment number. The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

5 Figure 4 A-H, Summary of discharge echocardiographic findings of the present systematic review, stratified by valve size. Pooled weighted mean valves represented as mean (95% confidence interval). Preop, Preoperative; Postop, postoperative; EOA, effective orifice area; EOAi, effective orifice area index. The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

6 Significant improvement in all echocardiographic outcomes postoperatively.
The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions


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