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. 2019 Jun 1;34(3):361-365.
doi: 10.21470/1678-9741-2019-0008.

Prosthesis-Patient Mismatch after Surgical Aortic Valve Replacement: Neither Uncommon nor Harmless

Sérgio da Costa Rayol  1   2 , Michel Pompeu Barros Oliveira Sá  1   2   3 , Luiz Rafael Pereira Cavalcanti  1   2 , Felipe Augusto Santos Saragiotto  1   2 , Roberto Gouvea Silva Diniz  1   2 , Frederico Browne Correia de Araujo E Sá  1   2 , Alexandre Motta Menezes  1   2 , Frederico Pires Vasconcelos Silva  1   2 , Ricardo Carvalho Lima  1   2   3
Affiliations

Prosthesis-Patient Mismatch after Surgical Aortic Valve Replacement: Neither Uncommon nor Harmless

Sérgio da Costa Rayol et al. Braz J Cardiovasc Surg. .

Abstract

Prosthesis-patient mismatch (PPM) after surgical aortic valve replacement (SAVR) is an issue that has been overlooked (not to say neglected). Cardiac surgeons must bear in mind that this is a real problem that we must tackle. The purpose of this paper is to be a wake-up call to the surgical community by giving a brief overview of what PPM is, its incidence and impact on the outcomes. We also discuss the increasing role played by imaging for predicting and assessing PPM after SAVR (with which surgeons must become more acquainted) and, finally, we present some options to avoid PPM after the surgical procedure.

Keywords: Aortic Valve Stenosis - Surgery; Heart Valve Prosthesis Implantation; Risk Assessment; Treatment Outcome.

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Conflict of interest statement

No conflict of interest.

Figures

Fig. 1
Fig. 1
Survival rates - STS Adult Cardiac Surgery Database.
Fig. 2
Fig. 2
Mortality rates - Largest meta-analysis published up to now.
See this image and copyright information in PMC

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