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

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

doi:10.21470/1678-9741-2019-0008

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

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

Authors

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

¹ Pronto-Socorro Cardiológico de Pernambuco Department of Cardiovascular Surgery Recife PE Brazil Department of Cardiovascular Surgery at Pronto-Socorro Cardiológico de Pernambuco (PROCAPE), Recife, PE, Brazil.
² Universidade de Pernambuco Recife PE Brazil Universidade de Pernambuco (UPE), Recife, PE, Brazil.
³ Faculdade de Ciências Médicas and Instituto de Ciências Biológicas Postgraduate Studies and Research in Health Sciences Recife PE Brazil Nucleus of Postgraduate Studies and Research in Health Sciences at Faculdade de Ciências Médicas and Instituto de Ciências Biológicas (FCM/ICB), Recife, PE, Brazil.

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.

MeSH terms

Heart Valve Prosthesis / adverse effects*
Humans
Postoperative Complications / diagnostic imaging
Postoperative Complications / mortality
Prosthesis Failure / adverse effects*
Risk Assessment
Risk Factors
Severity of Illness Index
Transcatheter Aortic Valve Replacement / adverse effects*
Transcatheter Aortic Valve Replacement / mortality
Treatment Failure