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Marisa De Feo
Maurizio Cotrufo
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J Thorac Cardiovasc Surg 2009;138:787-788
© 2009 The American Association for Thoracic Surgery


Letter to the Editor

Prosthesis–patient mismatch does not affect survival and quality of life in the elderly having bileaflet prostheses implant

Mariano Vicchio, MD, PhD, Marisa De Feo, MD, PhD, Maurizio Cotrufo, MD

Department of Cardiothoracic Sciences, Second University of Naples, Naples, Italy
Department of Cardiovascular Surgery and Transplants, V. Monaldi Hospital, Naples, Italy

The first 20% of the full text of this article appears below.

To the Editor:

We read with interest the article by Moon and colleagues evaluating the impact of prosthesis–patient mismatch (PPM) on the long-term outcomes for elderly patients having aortic valve replacement (AVR).1Go The study evidenced the lack of influence on survival by PPM after implantation of biologic prostheses in elderly people.

We would be interested to learn from the authors whether they evaluated the impact of PPM on incidence of bioprosthesis degeneration at follow-up.

We agree with authors' consideration, discussed in the Comment section, of the inopportunity of aortic root enlargement in this subset of patients, and we . . . [Full Text of this Article]


Related Article

Reply to the Editor
Marc R. Moon
J. Thorac. Cardiovasc. Surg. 2009 138: 788-789. [Extract] [Full Text] [PDF]






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