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Heart. 2006 Aug;92(8):1022-9. Epub 2005 Oct 26.

Prosthesis-patient mismatch: definition, clinical impact, and prevention.

Author information

1
Research Group in Valvular Heart Disease, Laval Hospital Research Centre/Quebec Heart Institute, Laval University, Sainte-Foy, Quebec, Canada. philippe.pibarot@med.ulaval.ca

Abstract

Prosthesis-patient mismatch (PPM) is present when the effective orifice area of the inserted prosthetic valve is too small in relation to body size. Its main haemodynamic consequence is to generate higher than expected gradients through normally functioning prosthetic valves. This review updates the present knowledge about the impact of PPM on clinical outcomes. PPM is common (20-70% of aortic valve replacements) and has been shown to be associated with worse haemodynamic function, less regression of left ventricular hypertrophy, more cardiac events, and lower survival. Moreover, as opposed to most other risk factors, PPM can largely be prevented by using a prospective strategy at the time of operation.

PMID:
16251232
PMCID:
PMC1861088
DOI:
10.1136/hrt.2005.067363
[Indexed for MEDLINE]
Free PMC Article

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