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

Authors
  • Rayol, Sérgio da Costa1, 2
  • Sá, Michel Pompeu Barros Oliveira1, 2, 3
  • Cavalcanti, Luiz Rafael Pereira1, 2
  • Saragiotto, Felipe Augusto Santos1, 2
  • Diniz, Roberto Gouvea Silva1, 2
  • Sá, Frederico Browne Correia de Araujo e...1, 2
  • Menezes, Alexandre Motta1, 2
  • Silva, Frederico Pires Vasconcelos1, 2
  • Lima, Ricardo Carvalho1, 2, 3
  • 1 Department of Cardiovascular Surgery at Pronto-Socorro Cardiológico de Pernambuco (PROCAPE), Recife, PE, Brazil.
  • 2 Universidade de Pernambuco (UPE), Recife, PE, Brazil.
  • 3 Nucleus of Postgraduate Studies and Research in Health Sciences at Faculdade de Ciências Médicas and Instituto de Ciências Biológicas (FCM/ICB), Recife, PE, Brazil.
Type
Published Article
Journal
Brazilian Journal of Cardiovascular Surgery
Publisher
Sociedade Brasileira de Cirurgia Cardiovascular
Publication Date
Jan 01, 2019
Volume
34
Issue
3
Pages
361–365
Identifiers
DOI: 10.21470/1678-9741-2019-0008
PMID: 31310476
PMCID: PMC6629220
Source
PubMed Central
Keywords
License
Green

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.

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