PMID- 36403275 OWN - NLM STAT- MEDLINE DCOM- 20230105 LR - 20230111 IS - 1540-8191 (Electronic) IS - 0886-0440 (Linking) VI - 37 IP - 12 DP - 2022 Dec TI - Clinical performance of a novel bioprosthetic surgical aortic valve in a German high-volume center. PG - 4833-4840 LID - 10.1111/jocs.17198 [doi] AB - BACKGROUND AND AIM: Bioprosthetic surgical aortic valve replacement (SAVR) is increasingly adopted in younger patients. We aimed to analyze mid-term follow-up data after SAVR to assess the performance of the prosthesis. METHODS: Data were collected from a single-center series of 154 patients, who underwent SAVR with a bioprosthetic heart valve with the RESILIA tissue at our Heart Centre in Siegburg. All procedural and midterm patient outcomes were documented. RESULTS: Patients had a mean age of 56.8 +/- 9.9 years, 35.7% were female, and the mean logistic European system for cardiac operative risk evaluation (EuroSCORE) was 3.4 +/- 3.6%. Diabetes (12.3%), atrial fibrillation (10.4%), and chronic obstructive pulmonary disease (COPD) (5.8%) were common comorbidities. The mean surgery duration was 163.8 +/- 73.4 min, with the 23 mm (34.4%) and 25 mm (33.8%) heart valves being most frequently implanted. At 3-year follow-up, mean pressure gradient was 13.9 +/- 5.9 mmHg, peak gradient was 23.6 +/- 7.7 mmHg, and effective orifice area (EOA) was 1.9 +/- 0.4 cm(2). No patient died during the operation, 3 (2.1%) patients within 30 days, and 4 (2.7%) thereafter with an overall mortality of n = 7. Of the surviving patients, 97.8% were in New York Heart Association (NYHA) class I/II and none had structural valve deterioration (SVD). CONCLUSION: Results of our single-center study indicate favorable procedural outcomes. The safety outcomes confirm preliminary earlier results of this novel bioprosthesis but include more patients and a longer midterm follow-up. CI - (c) 2022 Wiley Periodicals LLC. FAU - El-Sayed Ahmad, Ali AU - El-Sayed Ahmad A AD - Division of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, Witten, Germany. FAU - Giammarino, Sabrina AU - Giammarino S AD - Division of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, Witten, Germany. FAU - Salamate, Saad AU - Salamate S AUID- ORCID: 0000-0002-0906-0451 AD - Division of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, Witten, Germany. AD - Department of Cardiac Surgery, University Hospital Bonn, Bonn, Germany. FAU - Fehske, Wolfgang AU - Fehske W AUID- ORCID: 0000-0001-8087-5736 AD - Division of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, Witten, Germany. FAU - Sirat, Sami AU - Sirat S AD - Division of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, Witten, Germany. FAU - Amer, Mohamed AU - Amer M AD - Division of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, Witten, Germany. FAU - Bramlage, Peter AU - Bramlage P AUID- ORCID: 0000-0003-4970-2110 AD - Institute for Pharmacology and Preventive Medicine, Cloppenburg, Germany. FAU - Bakhtiary, Farhad AU - Bakhtiary F AUID- ORCID: 0000-0002-3042-7182 AD - Division of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, Witten, Germany. AD - Department of Cardiac Surgery, University Hospital Bonn, Bonn, Germany. FAU - Doss, Mirko AU - Doss M AD - Division of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, Witten, Germany. LA - eng GR - Edwards Lifesciences/ PT - Journal Article DEP - 20221120 PL - United States TA - J Card Surg JT - Journal of cardiac surgery JID - 8908809 SB - IM MH - Humans MH - Female MH - Middle Aged MH - Aged MH - Male MH - Aortic Valve/surgery MH - *Heart Valve Prosthesis Implantation/methods MH - *Aortic Valve Stenosis/surgery MH - Treatment Outcome MH - *Heart Valve Prosthesis MH - *Bioprosthesis MH - Prosthesis Design OTO - NOTNLM OT - INSPIRIS RESILIA OT - bioprosthesis OT - follow-up OT - surgical aortic valve replacement OT - young patients EDAT- 2022/11/21 06:00 MHDA- 2023/01/06 06:00 CRDT- 2022/11/20 16:54 PHST- 2022/09/23 00:00 [revised] PHST- 2022/04/08 00:00 [received] PHST- 2022/10/26 00:00 [accepted] PHST- 2022/11/21 06:00 [pubmed] PHST- 2023/01/06 06:00 [medline] PHST- 2022/11/20 16:54 [entrez] AID - 10.1111/jocs.17198 [doi] PST - ppublish SO - J Card Surg. 2022 Dec;37(12):4833-4840. doi: 10.1111/jocs.17198. Epub 2022 Nov 20.