Key result
Among patients with a Trifecta aortic valve prosthesis, the cumulative incidence of reintervention for structural valve failure was 5.11% at 9 years, primarily driven by leaflet tear.
Why the study?
Concerns have emerged regarding the durability and different mechanisms of early failure of Trifecta aortic valve prostheses.
What are the modes of failure and cumulative risk of reintervention for structural valve failure in patients receiving a Trifecta aortic valve prosthesis?
Population
1228 patients who underwent surgical aortic valve replacement with a Trifecta prosthesis
Design
Retrospective analysis
Authors
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Trifecta valve failure modes warrant surveillance; leaves open true incidence and management in prospective cohorts.
Cohort (n=1,228)
What are the modes of failure and cumulative risk of reintervention for structural valve failure in patients receiving a Trifecta aortic valve prosthesis?
Leaflet tear with dehiscence along the stent post is the primary mechanism of early structural valve failure in Trifecta aortic valve prostheses, with a 9-year cumulative reintervention incidence of 5.11%.
Malvindi et al. (2022) conducted a cohort in Surgical aortic valve replacement (n=1,228). Trifecta aortic valve prosthesis was evaluated on Cumulative incidence of reintervention for structural valve failure at 9 years. Among patients with a Trifecta aortic valve prosthesis, the cumulative incidence of reintervention for structural valve failure was 5.11% at 9 years, primarily driven by leaflet tear.
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