{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T06:07:49Z","timestamp":1760249269244},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2012,5,15]],"date-time":"2012-05-15T00:00:00Z","timestamp":1337040000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>The impact of patient-prosthesis mismatch (PPM) on early outcomes in young and middle-aged patients undergoing conventional aortic valve replacement for severe aortic stenosis remains unknown. Our objective was to evaluate the incidence of some degree of PPM and its influence on early mortality and morbidity.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We analyzed our single center experience in all patients &lt;70\u2009years undergoing first-time isolated aortic valve replacement for severe stenosis in our center from September 2007 to September 2011. PPM was defined as an indexed effective orifice area\u2009\u2264\u20090,85\u2009cm<jats:sup>2<\/jats:sup>\/m<jats:sup>2<\/jats:sup>. The influence of PPM on early mortality and postoperative complications was studied using propensity score analysis. Follow up at 30 postoperative days was 100% complete.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Of 199 patients studied, 61 (30,7%) had some degree of PPM. PPM was associated with an increased postoperative mortality (OR\u2009=\u20098,71; 95% CI\u2009=\u20091,67\u201345,29; <jats:italic>p<\/jats:italic>\u2009=\u20090,04) and major postoperative complications (OR\u2009=\u20092,96; CI\u2009=\u20091,03\u20138,55; <jats:italic>p<\/jats:italic>\u2009=\u20090,044). However, no association between PPM and prolonged hospital or ICU stay was demonstrated.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Moderate PPM is a common finding in young and middle-aged patients undergoing surgery for aortic valve replacement due to severe stenosis. In addition, its influence on early outcomes may be relevant.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1749-8090-7-46","type":"journal-article","created":{"date-parts":[[2012,5,15]],"date-time":"2012-05-15T17:38:50Z","timestamp":1337103530000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Impact of patient-prosthesis mismatch on 30-day outcomes in young and middle-aged patients undergoing aortic valve replacement"],"prefix":"10.1186","volume":"7","author":[{"given":"Daniel","family":"Hern\u00e1ndez-Vaquero","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan C","family":"Llosa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roc\u00edo","family":"D\u00edaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zain","family":"Khalpey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Morales","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rub\u00e9n","family":"\u00c1lvarez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose","family":"L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Boye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2012,5,15]]},"reference":[{"key":"581_CR1","doi-asserted-by":"publisher","first-page":"135","DOI":"10.4330\/wjc.v2.i6.135","volume":"2","author":"S Nathaniel","year":"2010","unstructured":"Nathaniel S, Saligram S, Innasimuthu AL: Aortic stenosis: An update. World J Cardiol. 2010, 2: 135-139. 10.4330\/wjc.v2.i6.135.","journal-title":"World J Cardiol"},{"key":"581_CR2","first-page":"41","volume":"52","author":"E Apostolakis","year":"2011","unstructured":"Apostolakis E, Baikoussis NG, Papakonstantinou NA, Goudevenos J: Patient-prosthesis mismatch and strategies to prevent it during aortic valve replacement. Hellenic J Cardiol. 2011, 52: 41-51.","journal-title":"Hellenic J Cardiol"},{"key":"581_CR3","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1161\/01.CIR.58.1.20","volume":"58","author":"SH Rahimtoola","year":"1978","unstructured":"Rahimtoola SH: The problem of valve prosthesis-patient mismatch. Circulation. 1978, 58: 20-24. 10.1161\/01.CIR.58.1.20.","journal-title":"Circulation"},{"key":"581_CR4","doi-asserted-by":"publisher","first-page":"983","DOI":"10.1161\/01.CIR.0000085167.67105.32","volume":"108","author":"C Blais","year":"2003","unstructured":"Blais C, Dumesnil JG, Baillot R, Simard S, Doyle D, Pibarot P: Impact of valve prosthesis-patient mismatch on short-term mortality after aortic valve replacement. Circulation. 2003, 108: 983-988. 10.1161\/01.CIR.0000085167.67105.32.","journal-title":"Circulation"},{"issue":"Suppl 3","key":"581_CR5","first-page":"5","volume":"102","author":"V Rao","year":"2000","unstructured":"Rao V, Jamieson WR, Ivanov J, Armstrong S, David TE: Prosthesis-patient mismatch affects survival after aortic valve replacement. Circulation. 2000, 102 (Suppl 3): 5-9.","journal-title":"Circulation"},{"key":"581_CR6","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1016\/S0300-8932(10)70061-0","volume":"63","author":"S Urso","year":"2010","unstructured":"Urso S, Sadaba R, Monle\u00f3n-Getino T, Aldamiz-Echevarr\u00eda G: Moderate patient-prosthesis mismatch has no independent effect on 30-day mortality after isolated aortic valve replacement. Rev Esp Cardiol. 2010, 63: 409-414. 10.1016\/S0300-8932(10)70061-0.","journal-title":"Rev Esp Cardiol"},{"key":"581_CR7","first-page":"475","volume":"16","author":"S Nozohoor","year":"2007","unstructured":"Nozohoor S, Nilsson J, L\u00fchrs C, Roijer A, Sj\u00f6gren J: The influence of patient-prosthesis mismatch on in-hospital complications and early mortality after aortic valve replacement. J Heart Valve Dis. 2007, 16: 475-482.","journal-title":"J Heart Valve Dis"},{"key":"581_CR8","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1016\/j.jacc.2008.09.022","volume":"53","author":"D Mohty","year":"2009","unstructured":"Mohty D, Dumesnil JG, Echahidi N, Mathieu P, Dagenais F, Voisine P, Pibarot P: Impact of prosthesis-patient mismatch on long-term survival after aortic valve replacement: influence of age, obesity and left ventricular dysfunction. J Am Coll Cardiol. 2009, 53: 39-47. 10.1016\/j.jacc.2008.09.022.","journal-title":"J Am Coll Cardiol"},{"key":"581_CR9","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1016\/j.athoracsur.2005.07.084","volume":"81","author":"MR Moon","year":"2006","unstructured":"Moon MR, Pasque MK, Munfakh NA, Melby SJ, Lawton JS, Moazami N, Codd JE, Crabtree TD, Barner HB, Damiano RJ: Prosthesis-patient mismatch after aortic valve replacement: impact on age and body size on late survival. Ann Thorac Surg. 2006, 81: 481-489. 10.1016\/j.athoracsur.2005.07.084.","journal-title":"Ann Thorac Surg"},{"key":"581_CR10","doi-asserted-by":"publisher","first-page":"1022","DOI":"10.1136\/hrt.2005.067363","volume":"92","author":"P Pibarot","year":"2006","unstructured":"Pibarot P, Dumesnil JG: Prosthesis-patient mismatch: definition, clinical impact and prevention. Heart. 2006, 92: 1022-1029. 10.1136\/hrt.2005.067363.","journal-title":"Heart"},{"key":"581_CR11","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1136\/hrt.2006.102764","volume":"93","author":"S Bleiziffer","year":"2007","unstructured":"Bleiziffer S, Eichinger WB, Hettich I, Guenzinger R, Ruzicka D, Bauernschmitt , Lange R: Prediction of valve prosthesis-patient mismatch prior to aortic valve replacement: which is the best method. Heart. 2007, 93: 615-620. 10.1136\/hrt.2006.102764.","journal-title":"Heart"},{"key":"581_CR12","doi-asserted-by":"publisher","first-page":"2003","DOI":"10.1016\/S0003-4975(02)04034-1","volume":"74","author":"DS Bach","year":"2002","unstructured":"Bach DS, Sakwa MP, Goldbach M, Petracek MR, Emery RW, Mohr FW: Hemodynamics and early clinical performance of the St. Jude Medical Regent mechanical aortic valve. Ann Thorac Surg. 2002, 74: 2003-2009. 10.1016\/S0003-4975(02)04034-1.","journal-title":"Ann Thorac Surg"},{"key":"581_CR13","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1016\/0735-1097(93)90681-P","volume":"21","author":"J Chambers","year":"1993","unstructured":"Chambers J, Cross J, Deverall P, Sowton E: Echocardiographic description of the CarboMedics bileaflet prosthetic heart valve. J Am Coll Cardiol. 1993, 21: 398-405. 10.1016\/0735-1097(93)90681-P.","journal-title":"J Am Coll Cardiol"},{"key":"581_CR14","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1016\/j.jtcvs.2005.02.057","volume":"130","author":"J Chambers","year":"2005","unstructured":"Chambers J, Roxburgh J, Blauth C, O\u2019Riordan J, Hodson F, Rimington H: A randomized comparison of the MCRI On-X and CarboMedics Top Hat bileaflet mechanical replacement aortic valves: early postoperative hemodynamic function and clinical events. J Thorac Cardiovasc Surg. 2005, 130: 759-764. 10.1016\/j.jtcvs.2005.02.057.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"581_CR15","first-page":"569","volume":"7","author":"J Chambers","year":"1998","unstructured":"Chambers J, Ely JL: Early postoperative echocardiographic hemodynamic performance of the On-X prosthetic heart valve: a multicenter study. J Heart Valve Dis. 1998, 7: 569-573.","journal-title":"J Heart Valve Dis"},{"key":"581_CR16","doi-asserted-by":"publisher","first-page":"570","DOI":"10.1161\/CIRCULATIONAHA.105.587022","volume":"113","author":"G Tasca","year":"2006","unstructured":"Tasca G, Mhagna Z, Perotti S, Centurini PB, Sabatini T, Amaducci A, Brunelli F, Cirillo M, Dalla Tomba M, Quaini E, Troise G, Pibarot P: Impact of patient-prosthesis mismatch on cardiac events and midterm mortality after aortic valve replacement in patients with pure aortic stenosis. Circulation. 2006, 113: 570-576. 10.1161\/CIRCULATIONAHA.105.587022.","journal-title":"Circulation"},{"key":"581_CR17","first-page":"661","volume":"9","author":"J Chambers","year":"2000","unstructured":"Chambers J, Dolman W, Jawetz J, Ramos A, Collaco J, Barros-Pena J: An echocardiographic description of the Sulzer Carbomedics Synergy ST (Labcor) porcine valve in the aortic position. J Heart Valve Dis. 2000, 9: 661-666.","journal-title":"J Heart Valve Dis"},{"key":"581_CR18","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1016\/0735-1097(90)90355-S","volume":"16","author":"JG Dumensil","year":"1990","unstructured":"Dumensil JG, Honos GN, Lemieux M, Beauchemin J: Validations and applications of indexed aortic prosthetic valve areas calculated by Doppler echocardiography. J Am Coll Cardiol. 1990, 16: 637-643. 10.1016\/0735-1097(90)90355-S.","journal-title":"J Am Coll Cardiol"},{"key":"581_CR19","doi-asserted-by":"publisher","first-page":"1131","DOI":"10.1016\/S0735-1097(00)00859-7","volume":"36","author":"P Pibarot","year":"2000","unstructured":"Pibarot P, Dumesnil JG: Hemodynamic and clinical impact of prosthesis-patient mismatch in the aortic valve position and its prevention. J Am Coll Cardiol. 2000, 36: 1131-1141. 10.1016\/S0735-1097(00)00859-7.","journal-title":"J Am Coll Cardiol"},{"key":"581_CR20","doi-asserted-by":"publisher","first-page":"1012","DOI":"10.1016\/j.jtcvs.2006.11.028","volume":"133","author":"CR Bridges","year":"2007","unstructured":"Bridges CR, O\u2019Brien SM, Cleveland JC, Savage EB, Gammie JS, Edwards FH, Peterson ED, Grover FL: Association between indices of prosthesis internal orifice size and operative mortality after isolated aortic valve replacement. J Thorac Cardiovasc Surg. 2007, 133: 1012-1021. 10.1016\/j.jtcvs.2006.11.028.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"581_CR21","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1016\/j.hlc.2007.02.082","volume":"16","author":"CH Yap","year":"2007","unstructured":"Yap CH, Mohajeri M, Yii M: Prosthesis-patient mismatch is associated with higher operative mortality following aortic valve replacement. Heart Lung Circ. 2007, 16: 260-264. 10.1016\/j.hlc.2007.02.082.","journal-title":"Heart Lung Circ"},{"key":"581_CR22","doi-asserted-by":"publisher","first-page":"S265","DOI":"10.1016\/S0003-4975(01)02509-7","volume":"71","author":"P Pibarot","year":"2001","unstructured":"Pibarot P, Dumesnil JG, Cartier PC, M\u00e9tras J, Lemieux MD: Patient-prosthesis mismatch can be predicted at the time of the operation. Ann Thorac Surg. 2001, 71: S265-S268. 10.1016\/S0003-4975(01)02509-7.","journal-title":"Ann Thorac Surg"},{"key":"581_CR23","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1016\/S0003-4975(02)03680-9","volume":"74","author":"LJ Castro","year":"2002","unstructured":"Castro LJ, Arcidi JM, Fisher AL, Gaudiani VA: Routine enlargement of the small aortic root: a preventive strategy to minimize mismatch. Ann Thorac Surg. 2002, 74: 31-36. 10.1016\/S0003-4975(02)03680-9.","journal-title":"Ann Thorac Surg"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1749-8090-7-46.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1749-8090-7-46\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1749-8090-7-46","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1749-8090-7-46.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T19:38:23Z","timestamp":1630525103000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/1749-8090-7-46"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5,15]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012,12]]}},"alternative-id":["581"],"URL":"https:\/\/doi.org\/10.1186\/1749-8090-7-46","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5,15]]},"assertion":[{"value":"5 January 2012","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 May 2012","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 May 2012","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"46"}}