Prosthesis-patient mismatch after surgical aortic valve replacement in patients with aortic stenosis
DC Field | Value | Language |
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dc.contributor.author | Kim, Hee Jung | - |
dc.contributor.author | Kim, Ho Jin | - |
dc.contributor.author | Kim, Joon Bum | - |
dc.contributor.author | Jung, Sung-Ho | - |
dc.contributor.author | Choo, Suk Jung | - |
dc.contributor.author | Chung, Cheol Hyun | - |
dc.contributor.author | Lee, Jae Won | - |
dc.date.accessioned | 2021-08-30T18:37:04Z | - |
dc.date.available | 2021-08-30T18:37:04Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2020-08 | - |
dc.identifier.issn | 1569-9293 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/54249 | - |
dc.description.abstract | OBJECTIVES: The issue of prosthesis-patient mismatch (PPM) after surgical aortic valve replacement (SAVR) has been a controversial topic. We sought to evaluate the long-term clinical impacts of PPM in patients undergoing SAVR in an updated, homogeneous cohort. METHODS: Using the prospective institutional database, we identified 895 adult patients (median age 66, interquartile range 58-72; 45.6% women) who underwent isolated SAVR from January 2000 to March 2016. Those with pure aortic insufficiency and concomitant other cardiac operations were excluded from this study cohort. The presence of a significant PPM was defined as an indexed effective orifice area 0.85 cm(2)/m(2) or less. The outcome of interest was all-cause deaths. Propensity score matching was performed for adjusting bias. RESULTS: Significant PPM was present in 247 patients (27.6%). During the follow-up period (mean 71.2 +/- 51.04 months), 134 patients (15%) died. Survival rates at 10 and 15 years were 78.3% vs 83.8% and 71.3% vs 57.6% in the PPM and non-PPM groups (P = 0.972). Risk factor analysis indicated that developing PPM was not associated with a risk of death. After propensity score matching (1:1), developing PPM was not a risk factor for long-term death as well (P = 0.584). CONCLUSIONS: Significant PPM was common after SAVR in patients with aortic stenosis. However, there was no significant difference in survival rate between those with and without PPM. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | OXFORD UNIV PRESS | - |
dc.subject | CLINICAL IMPACT | - |
dc.subject | TERM MORTALITY | - |
dc.subject | ECHOCARDIOGRAPHY | - |
dc.subject | PREDICTOR | - |
dc.subject | SURVIVAL | - |
dc.subject | POSITION | - |
dc.subject | OUTCOMES | - |
dc.subject | SOCIETY | - |
dc.title | Prosthesis-patient mismatch after surgical aortic valve replacement in patients with aortic stenosis | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Hee Jung | - |
dc.identifier.doi | 10.1093/icvts/ivaa085 | - |
dc.identifier.scopusid | 2-s2.0-85088610852 | - |
dc.identifier.wosid | 000596734500002 | - |
dc.identifier.bibliographicCitation | INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, v.31, no.2, pp.152 - 157 | - |
dc.relation.isPartOf | INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY | - |
dc.citation.title | INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY | - |
dc.citation.volume | 31 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 152 | - |
dc.citation.endPage | 157 | - |
dc.type.rims | ART | - |
dc.type.docType | Review | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalResearchArea | Respiratory System | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.relation.journalWebOfScienceCategory | Respiratory System | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | CLINICAL IMPACT | - |
dc.subject.keywordPlus | TERM MORTALITY | - |
dc.subject.keywordPlus | ECHOCARDIOGRAPHY | - |
dc.subject.keywordPlus | PREDICTOR | - |
dc.subject.keywordPlus | SURVIVAL | - |
dc.subject.keywordPlus | POSITION | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | SOCIETY | - |
dc.subject.keywordAuthor | Patients prosthesis mismatch | - |
dc.subject.keywordAuthor | Aortic valve replacement | - |
dc.subject.keywordAuthor | Aortic stenosis | - |
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