{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T16:19:43Z","timestamp":1773332383353,"version":"3.50.1"},"reference-count":25,"publisher":"Texas Heart Institute Journal","issue":"5","license":[{"start":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T00:00:00Z","timestamp":1697587200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:sec>\n          <jats:title>Background<\/jats:title>\n          <jats:p>Patient-prosthesis mismatch (PPM) may impair functional capacity and survival after aortic valve replacement. This study aimed to investigate the impact of PPM on long-term survival and quality of life after mechanical and biological aortic valve replacement.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Methods<\/jats:title>\n          <jats:p>This study included 595 consecutive patients who had undergone isolated aortic valve replacement. Patients were divided into 2 groups according to prosthesis type. The baseline and operative characteristics, survival rates, complications, and quality of life of the groups with and without PPM were compared for up to 6 years. The PPM calculation was performed using the effective orifice area value provided by the manufacturer divided by the patient's body surface area.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results<\/jats:title>\n          <jats:p>The moderate to severe PPM rates were 69.8% and 3.7% after biological and mechanical prosthesis implantation, respectively. Mean survival for patients in the biological group who had PPM was statistically significantly shorter (50.2 months [95% CI, 45.2-55.3]) than for patients in the biological group without PPM (60.1 months [95% CI, 55.7-64.4]; <jats:italic>P<\/jats:italic> = .04). In the mechanical prosthesis group, there was no difference in mean survival between the subgroup with PPM (66.6 months [95% CI, 58.3-74.9]) and the subgroup without PPM (64.9 months [95% CI, 62.6-67.2]; <jats:italic>P<\/jats:italic> = .50). A quality-of-life questionnaire's scores did not differ between the groups.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusion<\/jats:title>\n          <jats:p>Mismatch is common after biological valve implantation and statistically significantly affects long-term survival and quality of life. If the risk of PPM after implantation of a biological prosthesis is suspected, adopting strategies to avoid PPM at the time of surgery is warranted.<\/jats:p>\n        <\/jats:sec>","DOI":"10.14503\/thij-22-8048","type":"journal-article","created":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T04:14:15Z","timestamp":1698034455000},"source":"Crossref","is-referenced-by-count":3,"title":["Clinical Impact of Patient-Prosthesis Mismatch After Aortic Valve Replacement With a Mechanical or Biological Prosthesis"],"prefix":"10.14503","volume":"50","author":[{"given":"Milos","family":"Matkovic","sequence":"first","affiliation":[{"name":"Department for Cardiac Surgery, Clinical Centre of Serbia, Belgrade, Serbia"},{"name":"Faculty of Medicine, University of Belgrade, Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nemanja","family":"Aleksic","sequence":"additional","affiliation":[{"name":"Department for Cardiac Surgery, Clinical Centre of Serbia, Belgrade, Serbia"},{"name":"Faculty of Medicine, University of Belgrade, Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilija","family":"Bilbija","sequence":"additional","affiliation":[{"name":"Department for Cardiac Surgery, Clinical Centre of Serbia, Belgrade, Serbia"},{"name":"Faculty of Medicine, University of Belgrade, Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Antic","sequence":"additional","affiliation":[{"name":"Department for Cardiac Surgery, Clinical Centre of Serbia, Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jelena Milin","family":"Lazovic","sequence":"additional","affiliation":[{"name":"Department for Biostatistics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marko","family":"Cubrilo","sequence":"additional","affiliation":[{"name":"Department for Cardiac Surgery, Clinical Centre of Serbia, Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandar","family":"Milojevic","sequence":"additional","affiliation":[{"name":"Department for Cardiac Surgery, Clinical Centre of Serbia, Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor","family":"Zivkovic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Belgrade, Belgrade, Serbia"},{"name":"Department for Cardiac Surgery, Dedinje Cardiovascular Institute, Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Svetozar","family":"Putnik","sequence":"additional","affiliation":[{"name":"Department for Cardiac Surgery, Clinical Centre of Serbia, Belgrade, Serbia"},{"name":"Faculty of Medicine, University of Belgrade, Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"1","key":"i1526-6702-50-5-e228048-b1","series-title":"Circulation","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1161\/01.cir.58.1.20","article-title":"The problem of valve prosthesis-patient mismatch","volume":"58","author":"Rahimtoola\n              SH","year":"1978","unstructured":"Rahimtoola\n              SH\n            \n          . 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