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The Effect of Patient Prosthesis Mismatch on Functional Mitral Regurgitation in Patients with Mechanical Aortic Valve Replacement

Year 2020, Volume: 23 Issue: 1, 22 - 26, 01.04.2020

Abstract

Introduction: The aim of this study was to investigate the effects of patient prosthesis mismatch on functional mitral regurgitation after mechanical aortic valve replacement.

Patients and Methods: Total 59 patients were enrolled. All the echocardiographic assessments were performed by a single cardiologist. The patients were divided into two subgroups as per the presence of patient prosthesis mismatch. Group 1 comprised patients with mismatch, and group 2 included those without mismatch.

Results: There were no significant differences between the two groups in terms of postoperative mitral regurgitation development, postoperative left ventricular mass regression, postoperative pulmonary arterial pressure, and postoperative functional capacity.

Conclusion: Patient prosthesis mismatch is not a predictive factor for the development of functional mitral regurgitation after mechanical aortic valve replacement.

References

  • 1. Moazami N, Diodato MD, Moon MR, Lawton JS, Pasque MK, Herren RL. Does functional mitral regurgitation improve with isolated aortic valve replacement? J Card Surg 2004;19:444-8.
  • 2. Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr, Faxon DP, Freed MD, et al. Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 2008;52:E1-142.
  • 3. Brener SJ, Duffy CI, Thomas JD, Stewart WJ. Progression of aortic stenosis in 394 patients: relation to changes in myocardial and mitral valve dysfunction. J Am Coll Cardiol 1995;25:305-10.
  • 4. Unger P, Magne J, Vanden Eynden F, Plein D, Van Camp G, Pasquet A, et al. Impact of prosthesis-patient mismatch on mitral regurgitation after aortic valve replacement. Heart 2010;96:1627-32.
  • 5. Joo H, Chang B, Cho S, Youn Y, Yoo K, Lee S. Fate of functional mitral regurtitation and Predictors of persistent mitral regurtitation after isolated aortic valve replacement. Ann Thorac Surg 2011;92:82-8.
  • 6. Waisbren EC, Stevens LM, Avery EG, Picard MH, Vlahakes GJ, Agnihotri AK. Changes in mitral regurgitation after replacement of thestenotic aortic valve. Ann Thorac Surg 2008;86:56-63.
  • 7. Pibarot P, Dumesnil JG. The relevance of prosthesis-patient mismatch after aortic valve replacement. Nat Clin Pract Cardiovasc Med 2008;5:764-5.
  • 8. Angeloni E, Melina G, Pibarot P, Benedetto U, Refice S, Ciavarella G, et al. Impact of prosthesis-patient mismatch on the regression of secondary mitral regurgitation with a bioprosthetic valve in patients with severe aortic stenosis. Circulation 2012;5:36-42.
  • 9. Tasca G, Brunelli F, Cirillo M, Dalla Tomba M, Mhagna Z, Troise G, et al. Impact of the improvement of valve area achieved with aortic valve replacement on the regression of left ventricular hypertrophy in patients with pure aortic stenosis. Ann Thorac Surg 2005;79:1291-6.
  • 10. Schwarz F, Flameng W, Schaper J, Langebarteis F, Sesto M, Hehlein F. Myocardial structure and function in patients with aortic valve disease and their relation to postoperative results. Am J Cardiol 1978;41:661-9.
  • 11. Rahimtoola SH. The problem of valve prosthesis-patient mismatch. Circulation 1978;58:20-4.
  • 12. Bleiziffer S, Eichinger WB, Hettich I, Ruzicka D, Wottke M, Bauernschmitt R, et al. Impact of patient-prosthesis mismatch on exercise capacity in patients after bioprosthetic aortic valve replacement. Heart 2008;94:637-41.
  • 13. Howell NJ, Keogh BE, Barnet V, Bonser RS, Graham TR, Rooney SJ, Wet al. Patient-prosthesis mismatch does not affect survival following aortic valve replacement. Eur J Cardiothoracic Surg 2006;30:10-4.
  • 14. Vural KM. Pitfalls in interpreting the patient-prosthesis mismatch outcome. Thorac Cardiovasc Surg 2014;62(6):503-4.

Mekanik Aort Kapak Replasmanı Yapılan Hastalarda Hasta Kapak Uyumsuzluğunun Fonksiyonel Mitral Yetmezliğine Etkileri

Year 2020, Volume: 23 Issue: 1, 22 - 26, 01.04.2020

Abstract

Giriş: Bu çalışmanın amacı, hasta protez uyumsuzluğunun mekanik aort kapak replasmanı sonrası fonksiyonel mitral yetersizliği üzerine etkilerini araştırmaktır.

Hastalar ve Yöntem: Çalışmaya 59 hasta dahil edildi. Tüm ekokardiyografik değerlendirmeler tek bir kardiyolog tarafından yapıldı. Hastalar, hasta kapak uyumsuzluğunun varlığına göre iki alt gruba ayrıldı. Grup 1, uyumsuzluğu olan hastalardan oluşurken, kalan hastalar uyumsuzluğu olmayan grup 2’yi oluşturdu.

Bulgular: Postoperatif mitral yetmezlik gelişimi, postoperatif sol ventrikül kitle regresyonu, postoperatif pulmoner arter basıncı ve postoperatif fonksiyonel kapasite açısından iki grup arasında anlamlı fark yoktu.

Sonuç: Hasta protez uyumsuzluğu, fonksiyonel mitral yetmezlik gelişimi için mekanik aort kapak replasmanı
sonrası öngörücü bir faktör değildir.

References

  • 1. Moazami N, Diodato MD, Moon MR, Lawton JS, Pasque MK, Herren RL. Does functional mitral regurgitation improve with isolated aortic valve replacement? J Card Surg 2004;19:444-8.
  • 2. Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr, Faxon DP, Freed MD, et al. Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 2008;52:E1-142.
  • 3. Brener SJ, Duffy CI, Thomas JD, Stewart WJ. Progression of aortic stenosis in 394 patients: relation to changes in myocardial and mitral valve dysfunction. J Am Coll Cardiol 1995;25:305-10.
  • 4. Unger P, Magne J, Vanden Eynden F, Plein D, Van Camp G, Pasquet A, et al. Impact of prosthesis-patient mismatch on mitral regurgitation after aortic valve replacement. Heart 2010;96:1627-32.
  • 5. Joo H, Chang B, Cho S, Youn Y, Yoo K, Lee S. Fate of functional mitral regurtitation and Predictors of persistent mitral regurtitation after isolated aortic valve replacement. Ann Thorac Surg 2011;92:82-8.
  • 6. Waisbren EC, Stevens LM, Avery EG, Picard MH, Vlahakes GJ, Agnihotri AK. Changes in mitral regurgitation after replacement of thestenotic aortic valve. Ann Thorac Surg 2008;86:56-63.
  • 7. Pibarot P, Dumesnil JG. The relevance of prosthesis-patient mismatch after aortic valve replacement. Nat Clin Pract Cardiovasc Med 2008;5:764-5.
  • 8. Angeloni E, Melina G, Pibarot P, Benedetto U, Refice S, Ciavarella G, et al. Impact of prosthesis-patient mismatch on the regression of secondary mitral regurgitation with a bioprosthetic valve in patients with severe aortic stenosis. Circulation 2012;5:36-42.
  • 9. Tasca G, Brunelli F, Cirillo M, Dalla Tomba M, Mhagna Z, Troise G, et al. Impact of the improvement of valve area achieved with aortic valve replacement on the regression of left ventricular hypertrophy in patients with pure aortic stenosis. Ann Thorac Surg 2005;79:1291-6.
  • 10. Schwarz F, Flameng W, Schaper J, Langebarteis F, Sesto M, Hehlein F. Myocardial structure and function in patients with aortic valve disease and their relation to postoperative results. Am J Cardiol 1978;41:661-9.
  • 11. Rahimtoola SH. The problem of valve prosthesis-patient mismatch. Circulation 1978;58:20-4.
  • 12. Bleiziffer S, Eichinger WB, Hettich I, Ruzicka D, Wottke M, Bauernschmitt R, et al. Impact of patient-prosthesis mismatch on exercise capacity in patients after bioprosthetic aortic valve replacement. Heart 2008;94:637-41.
  • 13. Howell NJ, Keogh BE, Barnet V, Bonser RS, Graham TR, Rooney SJ, Wet al. Patient-prosthesis mismatch does not affect survival following aortic valve replacement. Eur J Cardiothoracic Surg 2006;30:10-4.
  • 14. Vural KM. Pitfalls in interpreting the patient-prosthesis mismatch outcome. Thorac Cardiovasc Surg 2014;62(6):503-4.
There are 14 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Investigations
Authors

Mehmet Erol This is me 0000-0002-7679-3575

Sertan Özyalçın This is me 0000-0003-3390-3655

Sinan Kocabeyoğlu This is me

Publication Date April 1, 2020
Published in Issue Year 2020 Volume: 23 Issue: 1

Cite

Vancouver Erol M, Özyalçın S, Kocabeyoğlu S. The Effect of Patient Prosthesis Mismatch on Functional Mitral Regurgitation in Patients with Mechanical Aortic Valve Replacement. Koşuyolu Heart Journal. 2020;23(1):22-6.