eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
1/2021
vol. 17
 
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abstract:
Short communication

Transcatheter transseptal mitral valve implantation with Edwards SAPIEN 3: the first experience of a single center

Paweł Kralisz
1
,
Marek Frank
2
,
Bożena Sobkowicz
3
,
Slawomir Dobrzycki
1
,
Tomasz Hirnle
2

1.
Department of Invasive Cardiology, University Hospital, Bialystok, Poland
2.
Department of Cardiosurgery, University Hospital, Bialystok, Poland
3.
Department of Cardiology, University Hospital, Bialystok, Poland
Adv Interv Cardiol 2021; 17, 1 (63): 105–108
Online publish date: 2021/03/27
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In recent years, there has been a clear trend towards increased mitral bioprosthetic valve surgery in comparison to mechanical prostheses [1]. According to the ESC Guidelines mitral bioprostheses are recommended for patients > 70 years old or those with a life expectancy lower than the presumed durability of the bioprosthesis (class IIa/C). Importantly, the guidelines also recognize the prominence of quality of life after cardiosurgery and focus on patients’ preferences (class Ic), especially if long-term anticoagulation is nonoptimal (class Ic) [2]. Structural deterioration of mitral bioprostheses (structural valve deterioration – SVD) is the main limitation for their use. The average lifespan of a bioprosthetic valve is estimated at 16 years and the reoperation due to SVD affects as many as 75% of patients after a 20-year follow-up [3, 4]. Reoperation is usually associated with high risk of complications and mortality [5, 6].
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