Prosthesis-patient mismatch - what cardiac anesthesiologists need to know?
Prosthesis-patient Mismatch (PPM) is not uncommon with an incidence reported up to 70% after aortic valve (AV) replacement. Severe forms of PPM are less common (up to 20%); PPM can lead to increased short- and long-term morbidity and mortality. It is important to discriminate PPM from other forms of...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2017;volume=20;issue=2;spage=234;epage=242;aulast=Subramaniam |
| _version_ | 1818186996641693696 |
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| author | Kathirvel Subramaniam Soheyla Nazarnia |
| author_facet | Kathirvel Subramaniam Soheyla Nazarnia |
| author_sort | Kathirvel Subramaniam |
| collection | DOAJ |
| description | Prosthesis-patient Mismatch (PPM) is not uncommon with an incidence reported up to 70% after aortic valve (AV) replacement. Severe forms of PPM are less common (up to 20%); PPM can lead to increased short- and long-term morbidity and mortality. It is important to discriminate PPM from other forms of prosthetic valve dysfunction. Sometimes, prosthetic valve degenerative disease may coexist with PPM. Echocardiography plays an important role in the prevention and diagnosis of PPM. Preemptive strategies to prevent PPM include insertion of newer generation prosthetic valves with better hemodynamic characteristics, stentless prosthesis, aortic root enlargement to insert a larger prosthesis, aortic homograft, and transcutaneous AV implantation. We present an illustrative case and review the literature on PPM pertinent to anesthesiologists. |
| first_indexed | 2024-12-11T23:04:01Z |
| format | Article |
| id | doaj.art-b7b488862e9944c8a58952fcf16095d0 |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-12-11T23:04:01Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-b7b488862e9944c8a58952fcf16095d02022-12-22T00:46:59ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842017-01-0120223424210.4103/aca.ACA_9_17Prosthesis-patient mismatch - what cardiac anesthesiologists need to know?Kathirvel SubramaniamSoheyla NazarniaProsthesis-patient Mismatch (PPM) is not uncommon with an incidence reported up to 70% after aortic valve (AV) replacement. Severe forms of PPM are less common (up to 20%); PPM can lead to increased short- and long-term morbidity and mortality. It is important to discriminate PPM from other forms of prosthetic valve dysfunction. Sometimes, prosthetic valve degenerative disease may coexist with PPM. Echocardiography plays an important role in the prevention and diagnosis of PPM. Preemptive strategies to prevent PPM include insertion of newer generation prosthetic valves with better hemodynamic characteristics, stentless prosthesis, aortic root enlargement to insert a larger prosthesis, aortic homograft, and transcutaneous AV implantation. We present an illustrative case and review the literature on PPM pertinent to anesthesiologists.http://www.annals.in/article.asp?issn=0971-9784;year=2017;volume=20;issue=2;spage=234;epage=242;aulast=SubramaniamAortic root enlargementaortic valveindexed effective orifice areapatient-prosthesis mismatch |
| spellingShingle | Kathirvel Subramaniam Soheyla Nazarnia Prosthesis-patient mismatch - what cardiac anesthesiologists need to know? Annals of Cardiac Anaesthesia Aortic root enlargement aortic valve indexed effective orifice area patient-prosthesis mismatch |
| title | Prosthesis-patient mismatch - what cardiac anesthesiologists need to know? |
| title_full | Prosthesis-patient mismatch - what cardiac anesthesiologists need to know? |
| title_fullStr | Prosthesis-patient mismatch - what cardiac anesthesiologists need to know? |
| title_full_unstemmed | Prosthesis-patient mismatch - what cardiac anesthesiologists need to know? |
| title_short | Prosthesis-patient mismatch - what cardiac anesthesiologists need to know? |
| title_sort | prosthesis patient mismatch what cardiac anesthesiologists need to know |
| topic | Aortic root enlargement aortic valve indexed effective orifice area patient-prosthesis mismatch |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2017;volume=20;issue=2;spage=234;epage=242;aulast=Subramaniam |
| work_keys_str_mv | AT kathirvelsubramaniam prosthesispatientmismatchwhatcardiacanesthesiologistsneedtoknow AT soheylanazarnia prosthesispatientmismatchwhatcardiacanesthesiologistsneedtoknow |