Outcome of reoperation for aortic valve prosthesis-patient mismatch.
We report a single center's 10-year experience with 21 consecutive cases of repeat aortic valve replacement for prosthesis-patient mismatch (P-PM) in which there was no hospital mortality among 12 patients treated for isolated P-PM. With an overall survival of 92% at a median follow-up of 4.5 years and functional class I symptoms in most survivors (73%), we conclude that repeat surgery for isolated P-PM has a relatively low mortality and a good intermediate-term clinical outcome.
Girard
S E
SE
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Miller
F A
FA
Montgomery
S
S
Edwards
W D
WD
Tazelaar
H D
HD
Malouf
J F
JF
Seward
J B
JB
Orszulak
T A
TA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001021:Aortic Valve / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000503:physiopathology / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011474:Prosthesis Design; D012086:Reoperation; D016896:Treatment Outcome