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Hemodynamic performance of Trifecta: single-center experience of 400 patients.
- Source :
-
Asian cardiovascular & thoracic annals [Asian Cardiovasc Thorac Ann] 2015 Feb; Vol. 23 (2), pp. 140-5. Date of Electronic Publication: 2014 May 13. - Publication Year :
- 2015
-
Abstract
- Objective: To evaluate postoperative hemodynamic gradients and early outcomes of aortic valve replacement with the Trifecta bioprosthesis.<br />Methods: Between 2011 and 2013, 400 patients underwent aortic valve replacement with a Trifecta bioprosthesis. Gradients were calculated by transthoracic echocardiography before discharge. Data were collected retrospectively; patients with postoperative severe left ventricular dysfunction or > mild mitral regurgitation were excluded.<br />Results: The mean age was 75.9 ± 8.5 years, 197 (49.25%) patients were male, and 140 (35%) were >80-years old. Concomitant procedures were performed in 207 (51.75%) patients, and 30 (7.5%) had redo procedures. Supraannular aortoplasty with bovine pericardium was necessary in 25 (6.25%) cases. Hospital mortality was 2.75% (11 patients). Postoperative peak and mean gradients were 21.7 ± 9.3 and 11.1 ± 4.3 mm Hg for 19-mm valves (n = 29); 19.5 ± 7 and 9.7 ± 3.6 mm Hg for 21-mm valves (n = 158); 17.3 ± 6.6 and 8.7 ± 3.2 mm Hg for 23-mm valves (n = 134); 15.1 ± 6.1 and 7.8 ± 3.3 mm Hg for 25-mm valves (n = 56); 13.2 ± 3.7 and 6.9 ± 2.6 mm Hg for 27-mm valves (n = 11). Nine patients had trivial and one had mild transvalvular regurgitation. Mean follow-up was 1 ± 0.62 years; no patient required reoperation. Kaplan-Meier survival at 1 and 2 years was 94.3% ± 1.3% and 93.7% ± 1.4%.<br />Conclusion: Early postoperative gradients are low after Trifecta implantation. Significant transvalvular regurgitation was not observed, but the incidence of supraannular aortoplasty may be increased.<br /> (© The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.)
- Subjects :
- Aged
Aged, 80 and over
Aortic Valve diagnostic imaging
Aortic Valve physiopathology
Aortic Valve Insufficiency diagnosis
Aortic Valve Insufficiency mortality
Aortic Valve Insufficiency physiopathology
Aortic Valve Stenosis diagnosis
Aortic Valve Stenosis mortality
Aortic Valve Stenosis physiopathology
England
Female
Heart Valve Prosthesis Implantation adverse effects
Heart Valve Prosthesis Implantation mortality
Hospital Mortality
Humans
Kaplan-Meier Estimate
Male
Postoperative Complications mortality
Postoperative Complications surgery
Prosthesis Design
Reoperation
Retrospective Studies
Risk Factors
Time Factors
Treatment Outcome
Ultrasonography
Aortic Valve surgery
Aortic Valve Insufficiency surgery
Aortic Valve Stenosis surgery
Bioprosthesis
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation instrumentation
Hemodynamics
Subjects
Details
- Language :
- English
- ISSN :
- 1816-5370
- Volume :
- 23
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Asian cardiovascular & thoracic annals
- Publication Type :
- Academic Journal
- Accession number :
- 24823382
- Full Text :
- https://doi.org/10.1177/0218492314533684