Hemodynamic performance and incidence of patient-prosthesis mismatch of the complete supraannular perimount magna bioprosthesis in the aortic position.

Botzenhardt, F; Eichinger, WB; Guenzinger, R; Bleiziffer, S; Wagner, I; Bauernschmitt, R; Lange, R

doi:10.1055/s-2005-837678

journal article

Dokumenttyp:: Clinical Trial; Journal Article; Article
Autor(en):: Botzenhardt, F; Eichinger, WB; Guenzinger, R; Bleiziffer, S; Wagner, I; Bauernschmitt, R; Lange, R
Titel:: Hemodynamic performance and incidence of patient-prosthesis mismatch of the complete supraannular perimount magna bioprosthesis in the aortic position.
Abstract:: BACKGROUND: Complete supraannular placement and smaller stent design allow the implantation of a Perimount Magna bioprosthesis with a larger inner diameter than that of a standard Perimount. This study compares the hemodynamic performance and the incidence of patient-prosthesis mismatch (PPM) of both prostheses. METHODS: 128 patients underwent aortic valve replacement, receiving either a Magna (n = 57) or a standard (n = 71) prosthesis. Inner aortic annulus diameter was measured intraoperatively by a hegar dilator to match echocardiographically obtained results to the annulus diameter instead of matching them to labelled valve size. RESULTS: The Magna was significantly superior with respect to mean pressure gradient and effective orifice area in patients with an annulus diameter of 22-23 mm. In patients with an annulus diameter < 22 mm or > 23 mm, there was a non-significant trend towards superior hemodynamics in the Magna group. Severe PPM (effective orifice area index < or = 0.65 cm (2)/m (2)) was present in 11.1% (Magna) vs. 42.1% (Standard) of patients with an annulus diameter < 22 mm; in 0% (Magna) vs. 13.8% (Standard) with an annulus diameter of 22-23 mm; no PPM was seen in patients with annulus diameter > 23 mm in both groups. CONCLUSIONS: The Perimount Magna had a significantly reduced incidence of patient-prosthesis mismatch and superior hemodynamics compared to the standard Perimount.
Zeitschriftentitel:: Thorac Cardiovasc Surg
Jahr:: 2005
Band / Volume:: 53
Heft / Issue:: 4
Seitenangaben Beitrag:: 226-30
Sprache:: eng
Volltext / DOI:: doi:10.1055/s-2005-837678
PubMed:: http://view.ncbi.nlm.nih.gov/pubmed/16037868
Print-ISSN:: 0171-6425
TUM Einrichtung:: Klinik für Herz- und Gefäßchirurgie (Prof. Lange)
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mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Lehr- und Forschungskooperationen mit den Kliniken und Instituten am Deutschen Herzzentrum Klinik für Herz- und Gefäßchirurgie (DHM) (Prof. Krane)2005