{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T06:25:16Z","timestamp":1793773516634,"version":"4.6.1"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,11,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare long-term outcomes across different models of mechanical and biological aortic valve prostheses after surgical aortic valve replacement (SAVR) in the Netherlands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from the Netherlands Heart Registration (NHR) on isolated, primary SAVR procedures performed from 2007 to 2018 in adult patients were used, excluding active endocarditis. Ten-year survival and freedom from valve-related reintervention were estimated for models that were implanted &amp;gt;200 times, using Cox proportional hazards models for survival and Fine and Gray\u2019s models with death as the competing event for freedom of reintervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>For 11\u00a0139 patients treated with a biological prosthetic aortic valve, 10-year survival was highest for the Perimount Magna Ease (72.6%) and Epic (70.0%), and significantly lower for the Perimount Magna (65.1%), Trifecta (63.1%), Perimount (61.4%), Freedom Solo (51.5%), and Mitroflow (50.7%). Ten-year freedom from reintervention was highest for the Perimount Magna (99.3%), and significantly lower for the Perimount Magna Ease (98.2%), Perimount (98.2%), Epic (97.3%), Trifecta (96.8%), Freedom Solo (93.2%), and Mitroflow (90.5%). For 2123 patients treated with a mechanical prosthetic aortic valve, 10-year survival was highest for the Regent (91.2%) and not significantly different for the Open Pivot (89.2%), Slimline (87.5%), HP (87.3%), and significantly lower for the Carbomedics Reduced (87.0%). Ten-year freedom from reintervention was highest for the Carbomedics Reduced (97.1%), not significantly different for the Open Pivot (96.1%), Slimline (96.5%), Regent (95.9%), and significantly lower for the HP (94.9%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Differences in 10-year outcomes after SAVR were observed for the different prosthetic aortic valve models that were used in the NHR, especially for biological prosthetic aortic valve models, with survival varying from 50.7% to 72.6% and freedom from reintervention from 90.5% to 99.3%.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/icvts\/ivag240","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T12:27:44Z","timestamp":1788179264000},"source":"Crossref","is-referenced-by-count":0,"title":["Ten-Year Reintervention-Free Survival After Surgical Aortic Valve Replacement for Different Prosthetic Aortic Valve Models: Comparison Using Real-World Data From the Netherlands Heart Registration"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1658-9692","authenticated-orcid":false,"given":"Hector W L","family":"de Beaufort","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, St. Antonius Hospital , 3435 CM Nieuwegein,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3104-5871","authenticated-orcid":false,"given":"Maaike M","family":"Roefs","sequence":"additional","affiliation":[{"name":"Netherlands Heart Registration , 3511 EP Utrecht,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edgar J","family":"Daeter","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, St. Antonius Hospital , 3435 CM Nieuwegein,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson W L","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Radboud University Medical Center , 6525 GA Nijmegen,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wim Jan P","family":"van Boven","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Amsterdam University Medical Center ,1105 AZ Amsterdam,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3669-5209","authenticated-orcid":false,"given":"Niels P","family":"van der Kaaij","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Erasmus Medical Center , 3000 CA Rotterdam,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"van Veghel","sequence":"additional","affiliation":[{"name":"Netherlands Heart Registration , 3511 EP Utrecht,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Cardiothoracic Surgery Registration Committee of the Netherlands Heart Registration","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Bramer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R A F","family":"de Lind van Wijngaarden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B M J A","family":"Koene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J A","family":"Bekkers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G J F","family":"Hoohenkerk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A L P","family":"Markou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"de Weger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Segers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Stecher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R G H","family":"Speekenbrink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V G","family":"Hindori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W W L","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E J","family":"Daeter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M M","family":"Mokhles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I J","family":"Wijdh \u2013 den Hamer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"2026110400270712900_ivag240-B1","doi-asserted-by":"publisher","first-page":"1289","DOI":"10.1016\/j.jacc.2025.01.013","article-title":"Bioprosthetic vs mechanical aortic valve replacement in patients 40 to 75 years of age","volume":"85","author":"Bowdish","year":"2025","journal-title":"J Am Coll Cardiol"},{"key":"2026110400270712900_ivag240-B2","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1016\/S0022-5223(19)39262-1","article-title":"Clinical and hemodynamic results with the St. Jude Medical cardiac valve prosthesis. A three-year experience","volume":"82","author":"Nicoloff","year":"1981","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2026110400270712900_ivag240-B3","doi-asserted-by":"publisher","first-page":"2022","DOI":"10.1016\/j.jtcvs.2003.07.005","article-title":"Twenty-year experience with the St Jude Medical mechanical valve prosthesis","volume":"126","author":"Ikonomidis","year":"2003","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2026110400270712900_ivag240-B4","doi-asserted-by":"publisher","first-page":"816","DOI":"10.1016\/j.athoracsur.2013.09.098","article-title":"Twenty-year experience with the CarboMedics mechanical valve prosthesis","volume":"97","author":"Bouchard","year":"2014","journal-title":"Ann Thorac Surg"},{"key":"2026110400270712900_ivag240-B5","doi-asserted-by":"publisher","first-page":"1042","DOI":"10.1253\/circj.CJ-20-1193","article-title":"Long-term clinical outcomes of the on-X mechanical prosthetic valve in the aortic or mitral position - a single-center experience of up to 20 years\u2019 follow up","volume":"85","author":"Kim","year":"2021","journal-title":"Circ J"},{"key":"2026110400270712900_ivag240-B6","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1016\/j.ejcts.2010.03.060","article-title":"The Sorin Bicarbon over 15 years clinical outcomes: multicentre experience in 1704 patients","volume":"38","author":"Azarnoush","year":"2010","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026110400270712900_ivag240-B7","doi-asserted-by":"publisher","first-page":"1306","DOI":"10.1016\/j.athoracsur.2013.11.035","article-title":"Twenty-year single-center experience with the Medtronic open pivot mechanical heart valve","volume":"97","author":"Van Nooten","year":"2014","journal-title":"Ann Thorac Surg"},{"key":"2026110400270712900_ivag240-B8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/icvts\/ivaf196","article-title":"Durability testing with calcification of surgical aortic valves and transcatheter heart valves: an in vitro study","volume":"40","author":"Sadat","year":"2025","journal-title":"Interdiscip Cardiovasc Thorac Surg"},{"key":"2026110400270712900_ivag240-B9","doi-asserted-by":"publisher","first-page":"1462","DOI":"10.1093\/ejcts\/ezv384","article-title":"Very long-term outcomes of the Carpentier-Edwards perimount aortic valve in patients aged 50-65 years","volume":"49","author":"Bourguignon","year":"2016","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026110400270712900_ivag240-B10","doi-asserted-by":"publisher","first-page":"1769","DOI":"10.1111\/jocs.14554","article-title":"Midterm results after St Jude Medical epic porcine xenograft for aortic, mitral, and double valve replacement","volume":"35","author":"Jawad","year":"2020","journal-title":"J Card Surg"},{"key":"2026110400270712900_ivag240-B11","doi-asserted-by":"publisher","first-page":"1198","DOI":"10.1016\/j.athoracsur.2020.07.040","article-title":"Durability and performance of 2298 Trifecta aortic valve prostheses: a propensity-matched analysis","volume":"111","author":"Yongue","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"2026110400270712900_ivag240-B12","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1111\/jocs.12726","article-title":"Long-term outcomes and durability of the Mitroflow aortic bioprosthesis","volume":"31","author":"Mosquera","year":"2016","journal-title":"J Card Surg"},{"key":"2026110400270712900_ivag240-B13","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1093\/icvts\/ivaa189","article-title":"Trend in morbidity and mortality in surgical aortic valve replacement: a retrospective, observational, single-centre study","volume":"31","author":"Dimagli","year":"2020","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2026110400270712900_ivag240-B14","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1001\/jamainternmed.2016.6936","article-title":"National registry data and record linkage to inform postmarket surveillance of prosthetic aortic valve models over 15 years","volume":"177","author":"Hickey","year":"2017","journal-title":"JAMA Intern Med"},{"key":"2026110400270712900_ivag240-B15","doi-asserted-by":"publisher","first-page":"e220962","DOI":"10.1001\/jamanetworkopen.2022.0962","article-title":"Comparison of long-term performance of bioprosthetic aortic valves in Sweden from 2003 to 2018","volume":"5","author":"Persson","year":"2022","journal-title":"JAMA Netw Open"},{"key":"2026110400270712900_ivag240-B16","doi-asserted-by":"publisher","first-page":"e247525","DOI":"10.1001\/jamanetworkopen.2024.7525","article-title":"Comparative long-term clinical performance of mechanical aortic valve prostheses","volume":"7","author":"Granbom Koski","year":"2024","journal-title":"JAMA Netw Open"},{"key":"2026110400270712900_ivag240-B17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/ejcts\/ezae177","article-title":"First-time surgical aortic valve replacement: nationwide trends and outcomes from The Netherlands Heart Registration","volume":"65","author":"Daeter","year":"2024","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026110400270712900_ivag240-B18","doi-asserted-by":"publisher","first-page":"546","DOI":"10.1007\/s12471-022-01672-0","article-title":"Using real-world data to monitor and improve quality of care in coronary artery disease: results from The Netherlands Heart Registration","volume":"30","author":"Timmermans","year":"2022","journal-title":"Neth Heart J"},{"key":"2026110400270712900_ivag240-B19","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1007\/s12471-022-01752-1","article-title":"Data quality and auditing within The Netherlands Heart Registration: using the PCI registry as an example","volume":"31","author":"Houterman","year":"2023","journal-title":"Neth Heart J"},{"key":"2026110400270712900_ivag240-B20","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1016\/j.xjon.2022.05.008","article-title":"Durability of a bovine pericardial aortic bioprosthesis based on valve academic research consortium-3 echocardiographic criteria","volume":"11","author":"Kermen","year":"2022","journal-title":"JTCVS Open"},{"key":"2026110400270712900_ivag240-B21","doi-asserted-by":"publisher","first-page":"1705","DOI":"10.1016\/j.jtcvs.2022.10.023","article-title":"Ten-year clinical and echocardiographic follow-up of third-generation biological prostheses in the aortic position","volume":"167","author":"Francica","year":"2024","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2026110400270712900_ivag240-B22","doi-asserted-by":"publisher","first-page":"4104","DOI":"10.21037\/jtd-21-481","article-title":"Serial echocardiographic evaluation of the perimount magna ease prosthesis","volume":"13","author":"Mayr","year":"2021","journal-title":"J Thorac Dis"},{"key":"2026110400270712900_ivag240-B23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/ejcts\/ezad351","article-title":"Late clinical and echocardiographic results with the magna ease pericardial aortic bioprosthesis","volume":"65","author":"Anselmi","year":"2024","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026110400270712900_ivag240-B24","doi-asserted-by":"publisher","first-page":"1150","DOI":"10.1093\/ejcts\/ezv383","article-title":"Porcine xenograft for aortic, mitral and double valve replacement: long-term results of 2544 consecutive patients","volume":"49","author":"Lehmann","year":"2016","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026110400270712900_ivag240-B25","doi-asserted-by":"publisher","first-page":"831","DOI":"10.1016\/j.athoracsur.2014.09.030","article-title":"Very long-term outcomes of the Carpentier-Edwards perimount valve in aortic position","volume":"99","author":"Bourguignon","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"2026110400270712900_ivag240-B26","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/j.carrev.2024.10.011","article-title":"Real-world outcomes and management considerations following surgical aortic valve replacement with the Trifecta valve","volume":"77","author":"Gutfinger","year":"2025","journal-title":"Cardiovasc Revasc Med"},{"key":"2026110400270712900_ivag240-B27","doi-asserted-by":"publisher","first-page":"416","DOI":"10.1093\/ejcts\/ezab470","article-title":"Long-term durability after surgical aortic valve replacement with the Trifecta and the Intuity valve-a comparative analysis","volume":"61","author":"Werner","year":"2022","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026110400270712900_ivag240-B28","doi-asserted-by":"publisher","first-page":"1279","DOI":"10.1111\/jocs.14250","article-title":"Mitroflow and perimount magna 10 years outcomes a direct propensity match analysis to assess reintervention rates and long follow-up mortality","volume":"34","author":"Theologou","year":"2019","journal-title":"J Card Surg"},{"key":"2026110400270712900_ivag240-B29","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1016\/j.jtcvs.2015.10.020","article-title":"Fate of aortic bioprostheses: an 18-year experience","volume":"151","author":"Piccardo","year":"2016","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2026110400270712900_ivag240-B30","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/icvts\/ivac086","article-title":"Modes of failure of trifecta aortic valve prosthesis","volume":"35","author":"Malvindi","year":"2022","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2026110400270712900_ivag240-B31","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1016\/j.jtcvs.2020.10.123","article-title":"Why the categorization of indexed effective orifice area is not justified for the classification of prosthesis-patient mismatch","volume":"164","author":"Vriesendorp","year":"2022","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivag240\/70881641\/ivag240.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/11\/ivag240\/70881641\/ivag240.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/11\/ivag240\/70881641\/ivag240.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T05:27:19Z","timestamp":1793770039000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivag240\/8776624"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":31,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11,3]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivag240","relation":{},"ISSN":["2753-670X"],"issn-type":[{"value":"2753-670X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,11]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"ivag240"}}