The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 6 , Pages 1464-1473.e3 , June 2007

The impact of patient–prosthesis mismatch on late outcomes after mitral valve replacement

Read at the Eighty-sixth Annual Meeting of The American Association for Thoracic Surgery, April 29–May 2, 2006, Philadelphia, Pa.

Received 29 May 2006 ,Revised 28 November 2006 ,Accepted 12 December 2006.

  • Image Result

    A, Freedom from recurrent CHF: MVPPM versus NOMVPPM (P < .0001). B, Cumulative incidence of postoperative PHTN: smaller sized valve (≤27) versus larger (≥29) sized valve (P = .005). C, Adjusted surviv

    A, Freedom from recurrent CHF: MVPPM versus NOMVPPM (P < .0001). B, Cumulative incidence of postoperative PHTN: smaller sized valve (≤27) versus larger (≥29) sized valve (P = .005). C, Adjusted survival according to MVPPM versus NOMVPPM (P = .05). CHF, Congestive heart failure; PHTN, pulmonary hypertension; MVPPM, mitral valve patient–prosthesis mismatch.

  • Image Result
    Freedom from recurrence of CHF. Mean (solid line) ± 95% confidence interval (CI) (dashed line). CHF, Congestive heart failure.

    Freedom from recurrence of CHF. Mean (solid line) ± 95% confidence interval (CI) (dashed line). CHF, Congestive heart failure.

  • Image Result
    Freedom from postoperative PHTN. Mean (solid line) ± 95% CI (dashed line). PHTN, Pulmonary hypertension.

    Freedom from postoperative PHTN. Mean (solid line) ± 95% CI (dashed line). PHTN, Pulmonary hypertension.

  • Image Result
    Overall survival. Mean (solid line) ± 95% CI (dashed line).

    Overall survival. Mean (solid line) ± 95% CI (dashed line).

  • Image Result
    Adjusted survival according to high SPAP versus low SPAP (P = .02). SPAP, Systolic pulmonary artery pressure.

    Adjusted survival according to high SPAP versus low SPAP (P = .02). SPAP, Systolic pulmonary artery pressure.

PII: S0022-5223(07)00358-3

doi: 10.1016/j.jtcvs.2006.12.071

The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 6 , Pages 1464-1473.e3 , June 2007