PMID- 26092666
OWN - NLM
STAT- MEDLINE
DCOM- 20161031
LR  - 20220408
IS  - 1873-734X (Electronic)
IS  - 1010-7940 (Linking)
VI  - 49
IP  - 3
DP  - 2016 Mar
TI  - Three-year haemodynamic performance of the St Jude Trifecta bioprosthesis.
PG  - 972-7
LID - 10.1093/ejcts/ezv211 [doi]
AB  - OBJECTIVES: To examine the haemodynamic performance of the St Jude Trifecta valve 
      for aortic valve replacement (AVR) at 3 years after implantation. METHODS: In a 
      single-centre, prospective, observational, independent study, we enrolled 122 
      patients who had AVR using a Trifecta bioprosthesis in the July 2010-June 2011 
      period. A clinical and echocardiographic in-house follow-up was scheduled. 
      RESULTS: In our series, 14.7% of patients received a 19-mm, 28.7% had a 21-mm, 
      35.2% had a 23-mm and 21.3% had a greater-size prosthesis. There were no cases of 
      operative mortality or of valve-related complications both early and at follow-up 
      (except one sudden unexplained death). Completeness of the 3-year 
      echocardiographic follow-up was 80% among survivors. The average mean 
      transvalvular gradient (mTVG) at 3 years was 14.2, 10.8, 8.6, 7.1 and 6.8 mmHg 
      (sizes 19 to 27/29, respectively). There was no statistically significant 
      difference between average mTVGs measured immediately after implantation versus 
      at the 3-year follow-up in the overall population. The average peak transvalvular 
      gradient (pTVG) at 3 years was 25, 20, 16.8, 13.9 and 14.4 mmHg (sizes 19 to 
      27/29, respectively). The average indexed effective orifice area (iEOA) at 3 
      years was 0.8, 0.9, 1, 1.3 and 1.3 cm(2)/m(2) (sizes 19-27, respectively). The 
      rate of moderate patient-prosthesis mismatch (PPM) at 3 years was 15.7%; there 
      were two instances of severe PPM (2.2%). All cases of PPM occurred in the 19, 21 
      and 23 mm size subgroups. CONCLUSIONS: The Trifecta valve retains its excellent 
      haemodynamic properties at the 3-year follow-up. The rate of PPM is considerably 
      low.
CI  - (c) The Author 2015. Published by Oxford University Press on behalf of the European 
      Association for Cardio-Thoracic Surgery. All rights reserved.
FAU - Ruggieri, Vito Giovanni
AU  - Ruggieri VG
AD  - Division of Thoracic and Cardiovascular Surgery, Pontchaillou University 
      Hospital, Rennes, France.
FAU - Anselmi, Amedeo
AU  - Anselmi A
AD  - Division of Thoracic and Cardiovascular Surgery, Pontchaillou University 
      Hospital, Rennes, France amedeo.anselmi@alice.it.
FAU - Chabanne, Celine
AU  - Chabanne C
AD  - Division of Thoracic and Cardiovascular Surgery, Pontchaillou University 
      Hospital, Rennes, France.
FAU - Lelong, Bernard
AU  - Lelong B
AD  - Division of Thoracic and Cardiovascular Surgery, Pontchaillou University 
      Hospital, Rennes, France.
FAU - Flecher, Erwan
AU  - Flecher E
AD  - Division of Thoracic and Cardiovascular Surgery, Pontchaillou University 
      Hospital, Rennes, France.
FAU - Verhoye, Jean-Philippe
AU  - Verhoye JP
AD  - Division of Thoracic and Cardiovascular Surgery, Pontchaillou University 
      Hospital, Rennes, France.
FAU - Leguerrier, Alain
AU  - Leguerrier A
AD  - Division of Thoracic and Cardiovascular Surgery, Pontchaillou University 
      Hospital, Rennes, France.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20150618
PL  - Germany
TA  - Eur J Cardiothorac Surg
JT  - European journal of cardio-thoracic surgery : official journal of the European 
      Association for Cardio-thoracic Surgery
JID - 8804069
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Valve/physiology/surgery
MH  - Aortic Valve Stenosis/*surgery
MH  - Bioprosthesis/*adverse effects/statistics & numerical data
MH  - Female
MH  - Heart Valve Prosthesis/*adverse effects/statistics & numerical data
MH  - Heart Valve Prosthesis Implantation/*adverse effects/mortality/statistics & 
      numerical data
MH  - Hemodynamics
MH  - Humans
MH  - Male
MH  - Prospective Studies
OTO - NOTNLM
OT  - Aortic valve replacement
OT  - Haemodynamics
OT  - Trifecta
EDAT- 2015/06/21 06:00
MHDA- 2016/11/01 06:00
CRDT- 2015/06/21 06:00
PHST- 2015/01/31 00:00 [received]
PHST- 2015/05/04 00:00 [accepted]
PHST- 2015/06/21 06:00 [entrez]
PHST- 2015/06/21 06:00 [pubmed]
PHST- 2016/11/01 06:00 [medline]
AID - ezv211 [pii]
AID - 10.1093/ejcts/ezv211 [doi]
PST - ppublish
SO  - Eur J Cardiothorac Surg. 2016 Mar;49(3):972-7. doi: 10.1093/ejcts/ezv211. Epub 
      2015 Jun 18.