How do long-term outcomes after aortic valve replacement compare between patients with and without low-gradient aortic stenosis, and what is the impact of patient-prosthesis mismatch (PPM)?
Patients with low-gradient aortic stenosis (LGAS) undergoing aortic valve replacement (AVR)
Aortic valve replacement (AVR)
Patients without LGAS undergoing AVR
Long-term outcomes
Patient-prosthesis mismatch should be avoided in patients with low-gradient aortic stenosis undergoing aortic valve replacement due to its adverse effect on long-term outcomes.
Patients with LGAS have worse long-term outcomes after AVR compared with patients without LGAS. PPM adversely affects the long-term outcomes of LGAS patients and should be avoided in this population.
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Alexander Kulik
Ian G. Burwash
Varun Kapila
Circulation
University of Ottawa
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Kulik et al. (Tue,) studied this question.
www.synapsesocial.com/papers/69effb5c4f6a06657c21e3e0 — DOI: https://doi.org/10.1161/circulationaha.105.001180
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