{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:17:32Z","timestamp":1777526252148,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2014,5,13]],"date-time":"2014-05-13T00:00:00Z","timestamp":1399939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate postoperative hemodynamic gradients and early outcomes of aortic valve replacement with the Trifecta bioprosthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 2011 and 2013, 400 patients underwent aortic valve replacement with a Trifecta bioprosthesis. Gradients were calculated by transthoracic echocardiography before discharge. Data were collected retrospectively; patients with postoperative severe left ventricular dysfunction or\u2009&gt;\u2009mild mitral regurgitation were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean age was 75.9\u2009\u00b1\u20098.5 years, 197 (49.25%) patients were male, and 140 (35%) were &gt;80-years old. Concomitant procedures were performed in 207 (51.75%) patients, and 30 (7.5%) had redo procedures. Supraannular aortoplasty with bovine pericardium was necessary in 25 (6.25%) cases. Hospital mortality was 2.75% (11 patients). Postoperative peak and mean gradients were 21.7\u2009\u00b1\u20099.3 and 11.1\u2009\u00b1\u20094.3\u2009mm Hg for 19-mm valves ( n\u2009=\u200929); 19.5\u2009\u00b1\u20097 and 9.7\u2009\u00b1\u20093.6\u2009mm Hg for 21-mm valves ( n\u2009=\u2009158); 17.3\u2009\u00b1\u20096.6 and 8.7\u2009\u00b1\u20093.2\u2009mm Hg for 23-mm valves ( n\u2009=\u2009134); 15.1\u2009\u00b1\u20096.1 and 7.8\u2009\u00b1\u20093.3\u2009mm Hg for 25-mm valves ( n\u2009=\u200956); 13.2\u2009\u00b1\u20093.7 and 6.9\u2009\u00b1\u20092.6\u2009mm Hg for 27-mm valves ( n\u2009=\u200911). Nine patients had trivial and one had mild transvalvular regurgitation. Mean follow-up was 1\u2009\u00b1\u20090.62 years; no patient required reoperation. Kaplan-Meier survival at 1 and 2 years was 94.3%\u2009\u00b1\u20091.3% and 93.7%\u2009\u00b1\u20091.4%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early postoperative gradients are low after Trifecta implantation. Significant transvalvular regurgitation was not observed, but the incidence of supraannular aortoplasty may be increased.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0218492314533684","type":"journal-article","created":{"date-parts":[[2014,5,13]],"date-time":"2014-05-13T23:07:27Z","timestamp":1400022447000},"page":"140-145","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Hemodynamic performance of Trifecta: Single-center experience of 400 patients"],"prefix":"10.1177","volume":"23","author":[{"given":"Amit","family":"Modi","sequence":"first","affiliation":[{"name":"Wessex Cardiothoracic Centre, Southampton University Hospital, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mindaugas","family":"Budra","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Centre, Southampton University Hospital, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szabolcs","family":"Miskolczi","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Centre, Southampton University Hospital, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodore","family":"Velissaris","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Centre, Southampton University Hospital, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markku","family":"Kaarne","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Centre, Southampton University Hospital, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clifford W","family":"Barlow","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Centre, Southampton University Hospital, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven A","family":"Livesey","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Centre, Southampton University Hospital, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunil K","family":"Ohri","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Centre, Southampton University Hospital, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoffrey M","family":"Tsang","sequence":"additional","affiliation":[{"name":"Wessex Cardiothoracic Centre, Southampton University Hospital, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,5,13]]},"reference":[{"key":"bibr1-0218492314533684","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199005313222203"},{"key":"bibr2-0218492314533684","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1161\/01.CIR.87.4.1211","volume":"87","author":"Nishimura 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