title: Outcome of reoperation for aortic valve prosthesis-patient mismatch.
abstract: 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.
authors.affiliation: Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
authors.forename: S E
authors.initials: SE
authors.lastname: Girard
authors.forename: F A
authors.initials: FA
authors.lastname: Miller
authors.forename: S
authors.initials: S
authors.lastname: Montgomery
authors.forename: W D
authors.initials: WD
authors.lastname: Edwards
authors.forename: H D
authors.initials: HD
authors.lastname: Tazelaar
authors.forename: J F
authors.initials: JF
authors.lastname: Malouf
authors.forename: J B
authors.initials: JB
authors.lastname: Seward
authors.forename: T A
authors.initials: TA
authors.lastname: Orszulak
mesh_terms: 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