Experience with the Wada-Cutter valve prosthesis in the aortic area

Background: Small aortic prosthesis can lead to prosthesis-patient mismatch (PPM). Implanting such small prosthesis remains a controversial issue. This study was done to investigate whether or not PPM causes an increased operative mortality in aortic valve replacement (AVR).Methods: Two-hundred-two consecutive patients undergoing primary AVR in a tertiary hospital were included. The sample was grouped according to the aortic valve prosthesis size: ?21 mm (small) and >21 mm (standard). The effect of variables on outcomes was determined by univariate and multivariable regression analyses.Results: PPM was found significantly more among patients with AVR ? 21mm (P < 0.0001). Moreover, the likelihood of mortality also was significantly higher in these patients (P < 0.0001). Univariate analysis demonstrated small prosthesis size, urgent operation, PPM, female gender, and NYHA Class IV as significant predictors of mortality. Multivariate regression identified female gender, PPM, and urgent operation as the key independent predictors of mortality.Conclusion: PPM and female gender are significant predictors of mortality. Care should be taken to prevent PPM by implanting larger prosthesis especially in females.

Download Full-text

Forty-three year survival with the ball-in-cage heart valve prosthesis (MKCH model 02) in the mitral position of a female patient: hemodynamic result, health-related quality of life, medication therapy correction

Kreativnaya kardiologiya ◽

10.24022/1997-3187-2019-13-3-274-284 ◽

2019 ◽

Vol 13 (3) ◽

pp. 274-284

Author(s):

T.G. Nikitina ◽

D.M. Pelekh ◽

A.A. Fadeev ◽

L.A. Glushko ◽

V.E. Il'yina ◽

...

Keyword(s):

Quality Of Life ◽

Female Patient ◽

Heart Valve ◽

Valve Prosthesis ◽

Health Related Quality ◽

Medication Therapy ◽

Mitral Position ◽

Related Quality ◽

Health Related

Download Full-text

RF59 PERCEVAL SUTURELESS AORTIC VALVE PROSTHESIS

Journal of Cardiovascular Medicine ◽

10.2459/01.jcm.0000549977.98281.1a ◽

2018 ◽

Vol 19 ◽

pp. e44

Author(s):

E. Mikus ◽

M. Pagliaro ◽

S. Calvi ◽

M. Panzavolta ◽

E. Ramoni ◽

...

Keyword(s):

Aortic Valve ◽

Valve Prosthesis ◽

Aortic Valve Prosthesis

Download Full-text

Faculty Opinions recommendation of Percutaneous implantation of the CoreValve self-expanding valve prosthesis in high-risk patients with aortic valve disease: the Siegburg first-in-man study.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1049253.497612 ◽

2006 ◽

Author(s):

Alik Sagie

Keyword(s):

High Risk ◽

Aortic Valve ◽

Aortic Valve Disease ◽

Valve Disease ◽

Valve Prosthesis ◽

High Risk Patients ◽

Risk Patients

Download Full-text

Passing a Mechanical Aortic Valve With a Short Tip Dilator to Facilitate Aortic Arch Endovascular Branched Repair

Journal of Endovascular Therapy ◽

10.1177/15266028211002506 ◽

2021 ◽

pp. 152660282110025

Author(s):

Nikolaos Konstantinou ◽

Sven Peterss ◽

Jan Stana ◽

Barbara Rantner ◽

Ramin Banafsche ◽

...

Keyword(s):

Aortic Valve ◽

Aortic Arch ◽

Stent Graft ◽

Mechanical Valve ◽

Valve Prosthesis ◽

Proper Position ◽

Mechanical Aortic Valve ◽

Aortic Replacement ◽

Custom Made ◽

Aortic Valve Prosthesis

Purpose To present a novel technique to successfully cross a mechanical aortic valve prosthesis. Technique A 55-year-old female patient with genetically verified Marfan syndrome presented with a 5-cm anastomotic aneurysm of the proximal aortic arch after previous ascending aortic replacement due to a type A aortic dissection in 2007. The patient also underwent mechanical aortic valve replacement in 1991. A 3-stage hybrid repair was planned. The first 2 steps included debranching of the supra-aortic vessels. In the third procedure, a custom-made double branched endovascular stent-graft with a short 35-mm introducer tip was implanted. The mechanical valve was passed with the tip of the dilator on the lateral site of the leaflet, without destructing the valve and with only mild symptoms of aortic insufficiency, as one leaflet continued to work. This allowed the implantation of the stent-graft directly distally of the coronary arteries. Postoperative computed tomography angiography showed no endoleaks and patent coronary and supra-aortic vessels. Conclusion Passing a mechanical aortic valve prosthesis at the proper position is feasible and allows adequate endovascular treatment in complex arch anatomy. However, caution should be taken during positioning of the endovascular graft as the tip may potentially damage the valve prosthesis.

Download Full-text