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Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Charchian É.R.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Katkov A.I.

Klinika aortal'noĭ i serdechno-sosudistoĭ khirurgii GBOU VPO Pervyĭ MGMU im. I.M. Sechenova Minzdrava Rossii

Salagaev G.I.

Chair of Cardiovascular Surgery and Interventional Cardiology, I.M. Sechenov First Moscow State Medical University (head — MD R.N. Komarov), acad. B.V. Petrovsky Russian Research Center for Surgery (director — acad. of RAS Yu.V. Belov), Moscow, Russia

Vinokurov I.A.

FGBU "Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo" RAMN, Moskva

Impact of prosthesis-patient mismatch on long-term results of aortic valve replacement

Authors:

Belov Yu.V., Charchian É.R., Katkov A.I., Salagaev G.I., Vinokurov I.A.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2016;9(2): 46‑51

DOI: 10.17116/kardio20169246-51

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Table of contents

IMPACT OF PROSTHESIS-PATIENT MISMATCH ON LONG-TERM RESULTS OF AORTIC VALVE REPLACEMENT
IMPACT OF PROSTHESIS-PATIENT MISMATCH ON LONG-TERM RESULTS OF AORTIC VALVE REPLACEMENT

To cite this article:

Belov YuV, Charchian ÉR, Katkov AI, Salagaev GI, Vinokurov IA. Impact of prosthesis-patient mismatch on long-term results of aortic valve replacement. Russian Journal of Cardiology and Cardiovascular Surgery. 2016;9(2):46‑51. (In Russ.)
https://doi.org/10.17116/kardio20169246-51

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
МСФ на ЯМ
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Abstract:

Aim. To analyze impact of prosthesis-patient mismatch (PPM) on long-term results of aortic valve replacement. Material and methods. 5-year results of aortic valve replacement were studied in 42 patients. Patients were divided into 2 groups: group I included 22 patients with PPM, group II - 20 patients without PPM. Patients underwent echocardiography with analysis of myocardial deformation, exercise tolerance and quality of life in remote postoperative period. Results. There were no significant differences in mortality and complication incidence in 5 years after surgery. However several parameters of quality of life were lower in group 1. Echocardiographic analysis showed worse outcomes in patients with PPM. It was found that left atrial dimension, mitral and tricuspid insufficiency and pulmonary pressure were significantly higher in group 1 compared with group 2. Myocardial deformation (strain) was 16.5±10.4 and 26.5±9.9% in both groups respectively (p=0.0212). Conclusion. PPM in patients after aortic valve replacement leads to incomplete reverse myocardial remodeling maintaining its dysfunction in remote postoperative period.

Keywords:

aortic valve replacement
aortic stenosis
prosthesis-patient mismatch
echocardiographic analysis
reverse myocardial remodeling

Authors:

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Charchian É.R.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Katkov A.I.

Klinika aortal'noĭ i serdechno-sosudistoĭ khirurgii GBOU VPO Pervyĭ MGMU im. I.M. Sechenova Minzdrava Rossii

Salagaev G.I.

Chair of Cardiovascular Surgery and Interventional Cardiology, I.M. Sechenov First Moscow State Medical University (head — MD R.N. Komarov), acad. B.V. Petrovsky Russian Research Center for Surgery (director — acad. of RAS Yu.V. Belov), Moscow, Russia

Vinokurov I.A.

FGBU "Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo" RAMN, Moskva

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References:

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