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Patient Prosthesis Mismatch in SAVR: How Avoidable is It in the ‘Real World’?

INFORMAZIONI SU QUESTO ARTICOLO

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Actual and algorithm-predicted cases where any patient-prosthesis mismatch was present

Actual AVA (by continuity) AVA predicted by the algorithm Total
AVA<0.85×BSA AVA>0.85×BSA
AVA<0.85×BSA 14 9 23
AVA>0.85×BSA 8 6 14
Total 22 15 37

Clinical and echocardiographic characteristics. NYHA – New York Heart Association; CCS – Canadian cardiac Society class; CVRFs – cardiovascular risk factors (smoking, diabetes, systemic arterial hypertension, hypercholesterolaemia, premature family history of coronary artery disease)

Angina Absent 28
Present 9
Heart failure Absent 14
Present 13
Syncope Absent 34
Present 3
Number of symptoms 0 1
1 32
2 4
NYHA Class 1 2
2 12
3 16
4 7
CCS Class 1 23
2 6
3 7
4 1
Number of CVRFs 0 4
1 9
2 16
3 6
4 2
BSA (m2) mean 1.93
SD 0.22
AVA (cm2) mean 1.63
SD 0.41
Indexed AVA (cm2/m2) mean 0.85
SD 0.22
Prosthesis size (mm) mean 23.88
SD 2.40
Stroke volume (ml) mean 33.80
SD 7.88
Stroke volume index Mean 52.20
(ml/m2) SD 11.89

Actual and algorithm-predicted cases where severe patient prosthesis mismatch was present. p>0.05 for all cells

Actual AVA (by continuity) AVA predicted by the algorithm Total
AVA<0.65×BSA AVA>0.65×BSA
AVA<0.65×BSA 2 5 7
AVA>0.65×BSA 7 23 30
Total 9 28 37
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