2018年11月
Aortic valve replacement in small patients
Asian Journal of Surgery
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- 巻
- 41
- 号
- 6
- 開始ページ
- 578
- 終了ページ
- 584
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1016/j.asjsur.2017.08.005
Objectives: Asians are smaller than Europeans and North Americans, but aortic valve replacement (AVR) in small patients has not been examined. We aimed to compare short- and mid-term outcomes of AVR between small and non-small patients. Methods: We retrospectively divided 173 patients who underwent AVR into small (S, n = 95) and non-small (NS, n = 78) groups according to body surface area (≤1.6 in men, ≤1.5 in women) and analyzed differences in baseline characteristics, procedural and post-procedural variables, and survival. Results: Mean age differed significantly between the S and NS groups (71.9 ± 11.2 vs. 66.2 ± 9.8 years), as did the proportion of women (60.0% vs. 24.4%). Implanted valves (19.6 ± 1.6 mm vs. 20.7 ± 1.7 mm) were significantly smaller and more bioprosthetic valves (57.9% vs. 41.0%) were used in the S group. Effective orifice area index and the rate of moderate and severe patient-prosthesis mismatch were not significantly different. No significant intergroup differences were found in hospitalization duration, 30-day mortality, survival rates, or valve related complications. Conclusions: Small patients were older and the proportion of women was higher. The implanted aortic valves were smaller and more were biological prostheses. However, mortality rate did not differ and short- and mid-term outcomes were safe and favorable.
- リンク情報
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- DOI
- https://doi.org/10.1016/j.asjsur.2017.08.005
- PubMed
- https://www.ncbi.nlm.nih.gov/pubmed/29031428
- Scopus
- https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85030833416&origin=inward 本文へのリンクあり
- Scopus Citedby
- https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85030833416&origin=inward
- URL
- http://orcid.org/0000-0001-7747-0164
- ID情報
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- DOI : 10.1016/j.asjsur.2017.08.005
- ISSN : 1015-9584
- eISSN : 0219-3108
- ORCIDのPut Code : 50455405
- PubMed ID : 29031428
- SCOPUS ID : 85030833416