naa a22 4500 510728642 CHVBK 20180411082944.0 cr unu---uuuuu 180411e20130501xx s 000 0 eng 10.1007/s11748-013-0216-6 doi (NATIONALLICENCE)springer-10.1007/s11748-013-0216-6 Patient-prosthesis mismatch in patients with aortic valve replacement [Elektronische Daten] [Yuichiro Kaminishi, Yoshio Misawa, Junjiro Kobayashi, Hiroaki Konishi, Hiroaki Miyata, Noboru Motomura, Shin-ichi Takamoto] Objective: Patient-prosthesis mismatch (PPM) may affect clinical outcomes in patients with aortic valve replacement (AVR). We retrospectively examined the PPM in patients with isolated AVR in the Japan Adult Cardiovascular Surgery Database (JACVSD). Methods: We examined all patients with isolated AVR between January 1, 2008 and December 31, 2009. The JACVSD data collection form has a total of 255 variables. We defined PPM as an effective orifice area index of ≤0.85 m2/cm2. Results: PPM was observed in 306 of 3,609 cases analyzed, PPM rate was 8.5%. Body surface area was larger and body mass index was higher in the PPM group than the non-PPM group (P<0.001). Patients with PPM were older (P=0.001) and had a higher prevalence of diabetes (P=0.004), dyslipidemia (P<0.001), hypertension (P<0.001), cerebrovascular disease (P=0.031), old myocardial infarction (P=0.006), previous percutaneous coronary artery intervention (P=0.001), coronary artery disease (P=0.018), and aortic valve stenosis (P<0.001). Perioperative blood transfusion (P<0.001) and dialysis (P=0.005) were more frequent in the PPM group. Postoperative ventilation (P=0.004) and intensive care unit stay (P=0.004) were significantly longer in the PPM group. Conclusions: Age, aortic valve stenosis, dyslipidemia, hypertension, old myocardial infarction, previous percutaneous coronary artery intervention, diabetes mellitus, cerebrovascular disease, and high body mass index were the risk factors for PPM. PPM was not an independent risk factor for short-term mortality. The Author(s), 2013 Aortic valve replacement nationallicence Prosthesis nationallicence Mortality nationallicence Hemodynamics nationallicence Kaminishi Yuichiro Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut Misawa Yoshio Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut Kobayashi Junjiro Japan Cardiovascular Surgery Database Organization, 2-26-9 Hongo, 113-0033, Bunnkyo-ku, Tokyo, Japan aut Konishi Hiroaki Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut Miyata Hiroaki Japan Cardiovascular Surgery Database Organization, 2-26-9 Hongo, 113-0033, Bunnkyo-ku, Tokyo, Japan aut Motomura Noboru Japan Cardiovascular Surgery Database Organization, 2-26-9 Hongo, 113-0033, Bunnkyo-ku, Tokyo, Japan aut Takamoto Shin-ichi Japan Cardiovascular Surgery Database Organization, 2-26-9 Hongo, 113-0033, Bunnkyo-ku, Tokyo, Japan aut General Thoracic and Cardiovascular Surgery Springer Japan 61/5(2013-05-01), 274-279 1863-6705 61:5<274 2013 61 11748 https://doi.org/10.1007/s11748-013-0216-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11748-013-0216-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kaminishi Yuichiro Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut NATIONALLICENCE 700 1- Misawa Yoshio Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut NATIONALLICENCE 700 1- Kobayashi Junjiro Japan Cardiovascular Surgery Database Organization, 2-26-9 Hongo, 113-0033, Bunnkyo-ku, Tokyo, Japan aut NATIONALLICENCE 700 1- Konishi Hiroaki Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan aut NATIONALLICENCE 700 1- Miyata Hiroaki Japan Cardiovascular Surgery Database Organization, 2-26-9 Hongo, 113-0033, Bunnkyo-ku, Tokyo, Japan aut NATIONALLICENCE 700 1- Motomura Noboru Japan Cardiovascular Surgery Database Organization, 2-26-9 Hongo, 113-0033, Bunnkyo-ku, Tokyo, Japan aut NATIONALLICENCE 700 1- Takamoto Shin-ichi Japan Cardiovascular Surgery Database Organization, 2-26-9 Hongo, 113-0033, Bunnkyo-ku, Tokyo, Japan aut NATIONALLICENCE 773 0- General Thoracic and Cardiovascular Surgery Springer Japan 61/5(2013-05-01), 274-279 1863-6705 61:5<274 2013 61 11748 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer