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Eur J Cardiothorac Surg 2006;30:1
© 2006 Elsevier Science NL


Editorial

Is severe valve prosthesis-patient mismatch (VP-PM) associated with a higher mortality?

Shahbudin H. Rahimtoola a , b , *

a University of Southern California, 2025 Zonal Avenue, Los Angeles, CA 90033, USA
b Griffith Center, Division of Cardiovascular Medicine, Department of Medicine, LAC+USC Medical Center, Keck School of Medicine at USC, Los Angeles, CA, USA

* Corresponding author. Tel.: +1 323 226 7264; fax: +1 323 221 4428. (Email: rahimtoo@usc.edu).

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

Two papers in the current issue of the journal questioned whether valve prosthesis-patient mismatch (VP-PM) [1] is associated with an increased mortality and have come to different conclusions.

Howell et al. [2] have classified severe VP-PM as prosthetic aortic valve area (PHVA) <0.6 cm2/m2, which was determined at the time of valve implantation from the manufacturer's in vitro data. The survival (‘all-cause mortality’) was not significantly different at 3 and 5 years from the ‘reference group’ . . . [Full Text of this Article]




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