Prosthesis-Patient Mismatch after Surgical Aortic Valve Replacement: Neither Uncommon nor Harmless

Prosthesis-patient mismatch (PPM) after surgical aortic valve replacement (SAVR) is an issue that has been overlooked (not to say neglected). Cardiac surgeons must bear in mind that this is a real problem that we must tackle. The purpose of this paper is to be a wake-up call to the surgical communit...

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Bibliographic Details
Published in:Revista brasileira de cirurgia cardiovascular 2019-01, Vol.34 (3), p.361-365
Main Authors: Rayol, Sérgio da Costa, Sá, Michel Pompeu Barros Oliveira, Cavalcanti, Luiz Rafael Pereira, Saragiotto, Felipe Augusto Santos, Diniz, Roberto Gouvea Silva, Sá, Frederico Browne Correia de Araujo E, Menezes, Alexandre Motta, Silva, Frederico Pires Vasconcelos, Lima, Ricardo Carvalho
Format: Article
Language:English
Subjects:
Aortic Valve Stenosis - Surgery
CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiology
Heart surgery
Heart Valve Prosthesis - adverse effects
Heart Valve Prosthesis Implantation
Humans
Mortality
Patients
Postoperative Complications - diagnostic imaging
Postoperative Complications - mortality
Prostheses
Prosthesis Failure - adverse effects
Risk Assessment
Risk Factors
Severity of Illness Index
Special
Surgeons
SURGERY
Systematic review
Transcatheter Aortic Valve Replacement - adverse effects
Transcatheter Aortic Valve Replacement - mortality
Treatment Failure
Treatment Outcome
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Summary:Prosthesis-patient mismatch (PPM) after surgical aortic valve replacement (SAVR) is an issue that has been overlooked (not to say neglected). Cardiac surgeons must bear in mind that this is a real problem that we must tackle. The purpose of this paper is to be a wake-up call to the surgical community by giving a brief overview of what PPM is, its incidence and impact on the outcomes. We also discuss the increasing role played by imaging for predicting and assessing PPM after SAVR (with which surgeons must become more acquainted) and, finally, we present some options to avoid PPM after the surgical procedure.
ISSN:1678-9741
0102-7638
1678-9741
DOI:10.21470/1678-9741-2019-0008