ASIAN CARDIOVASCULAR & THORACIC ANNALS最新文献_第9页

Survival outcomes of hybrid versus total arch replacement in type A aortic dissection: A meta-analysis of reconstructed individual participant data. A型主动脉夹层混合型与全弓置换术的生存结局：重建个体参与者数据的荟萃分析

IF 0.6

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-01-01 Epub Date: 2025-11-14 DOI: 10.1177/02184923251394904

Naritsaret Kaewboonlert, Natthipong Pongsuwan, Chanut Chatkaewpaisal, Jiraphon Poontananggul

{"title":"Survival outcomes of hybrid versus total arch replacement in type A aortic dissection: A meta-analysis of reconstructed individual participant data.","authors":"Naritsaret Kaewboonlert, Natthipong Pongsuwan, Chanut Chatkaewpaisal, Jiraphon Poontananggul","doi":"10.1177/02184923251394904","DOIUrl":"10.1177/02184923251394904","url":null,"abstract":"IntroductionThe optimal extent of aortic arch intervention for acute type A aortic dissection (ATAAD) remains uncertain. Total arch replacement with a frozen elephant trunk (TAR + FET) prolongs circulatory-arrest time, whereas hybrid arch repair (HAR)-supra-aortic debranching in combination with antegrade endovascular stent grafting-reduces ischemic time but may increase the risk of late reintervention.ObjectiveThis study aims to compare mid-term survival and freedom from reintervention after HAR versus TAR in ATAAD.MethodsPubMed, Embase, and Scopus were searched from their inception to May 2025. Kaplan-Meier Curves were digitized, and individual-participant data were reconstructed with a validated algorithm. Pooled hazard ratios (HR) were derived from a one-stage flexible parametric model; robustness was assessed with two-stage random-effects meta-analysis, leave-one-out tests.ResultsFive propensity-matched studies (n = 697; 338 HAR, 359 TAR) met inclusion criteria. Hybrid arch repair shortened cardiopulmonary bypass and avoided circulatory arrest time. Five-year survival was 86.5% for HAR versus 76.2% for TAR (log-rank p < 0.001). Hybrid arch repair provided a significant early-to-mid-term survival advantage over TAR in ATAAD (HR 0.46 (95% CI 0.31-0.69; p < 0.001)), corresponding to about 6 months of survival benefit at 5 years. Hybrid arch repair was associated with greater likelihood of early reintervention (HR 4.07, 95% CI 0.55-30.34).ConclusionHybrid arch repair offers a significant early-to-mid-term survival advantage over TAR in ATAAD. In patients requiring aortic arch replacement, HAR may be favored over TAR/FET, while extensive TAR/FET procedures are reserved for anatomically unsuitable cases.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"5-18"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Modified Nuss procedure versus Ravitch in concurrent repair of pectus deformity and open-heart surgery. 改良Nuss法与Ravitch法在胸骨畸形和心内直视手术同步修复中的比较。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-01-01 Epub Date: 2025-12-09 DOI: 10.1177/02184923251404220

Hamidreza Davari, Reza Akbari Asbagh, Saeid Hosseini, Seyed Hossein Ahmadi Tafti, Seyed Khalil Foruzannia, Alireza Alizadeh Ghavidel, Mohammad Hasan Nemati, Masoud Baghai Wadji, Ahmad Ali Amirghofran

{"title":"Modified Nuss procedure versus Ravitch in concurrent repair of pectus deformity and open-heart surgery.","authors":"Hamidreza Davari, Reza Akbari Asbagh, Saeid Hosseini, Seyed Hossein Ahmadi Tafti, Seyed Khalil Foruzannia, Alireza Alizadeh Ghavidel, Mohammad Hasan Nemati, Masoud Baghai Wadji, Ahmad Ali Amirghofran","doi":"10.1177/02184923251404220","DOIUrl":"10.1177/02184923251404220","url":null,"abstract":"ObjectivePectus excavatum and, less commonly, pectus carinatum are congenital chest wall deformities. These may be associated with kyphoscoliosis, pulmonary, and cardiac diseases. However, the incidence of concomitant cardiac disease in patients with pectus deformities is not well-documented. There is no consensus on the optimal age for repair, the most effective technique, or whether a simultaneous or staged approach is preferable. This study presents our experience with combined pectus and cardiac surgery.MethodsThirteen patients (aged 6-32 years) with pectus deformities and concurrent cardiac disease underwent surgery between 2016 and 2024. Eleven had pectus excavatum, one had a mixed deformity, and one had Pouter chest wall deformity. Seven had Marfan syndrome, one had Noonan syndrome, and three had mitral valve regurgitation requiring Bentall and/or valve replacement. The patient with Pouter chest wall deformity had right ventricular outflow tract (RVOT) stenosis, pulmonary valve stenosis, and a patent foramen ovale. Another had a failed Ravitch repair with a right coronary artery to RVOT fistula.ResultsThere was no mortality. All patients were extubated within 72 h, except one requiring reintubation for seven days due to COVID-19 pneumonia. Patients' characteristics are summarized in Table 1. One patient with a previous failed Ravitch repair required bilateral costochondral fixation. Pectus repair outcomes were excellent in 11 patients, while two children developed postoperative pectus carinatum.ConclusionThe choice between simultaneous or staged repair remains debated. Our experience suggests the modified open Nuss procedure is preferable for concomitant pectus and cardiac surgery, except when infeasible.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"33-42"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of pulmonary hypertension on early outcomes of valve surgery in rheumatic heart disease: The first outcome-based study from Yemen. 肺动脉高压对风湿性心脏病瓣膜手术早期结局的影响：也门第一项基于结果的研究

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-01-01 Epub Date: 2025-11-26 DOI: 10.1177/02184923251399732

Naseem Al-Wsabi, Abudar A Al-Ganadi, Mahdi A Kadry, Tarq Noman, Ismail Al-Shameri, Nada Al-Wsabi

{"title":"Impact of pulmonary hypertension on early outcomes of valve surgery in rheumatic heart disease: The first outcome-based study from Yemen.","authors":"Naseem Al-Wsabi, Abudar A Al-Ganadi, Mahdi A Kadry, Tarq Noman, Ismail Al-Shameri, Nada Al-Wsabi","doi":"10.1177/02184923251399732","DOIUrl":"10.1177/02184923251399732","url":null,"abstract":"BackgroundThere is conflicting evidence on the adverse impact of pulmonary hypertension (PH) on outcomes following cardiac surgery for rheumatic heart disease (RHD). This study aimed to evaluate the influence of PH severity on in-hospital mortality and early outcomes after valve surgery in patients with RHD.MethodsIn this prospective observational study, 152 patients with RHD undergoing valve surgery were categorized into three groups based on estimated systolic pulmonary artery pressure on echocardiography: no or mild PH (<45 mmHg), moderate PH (45-59 mmHg), and severe PH (≥60 mmHg). The primary endpoint was in-hospital all-cause mortality and major morbidity; the secondary endpoint was 30-day readmission.ResultsIn-hospital all-cause mortality was 3.3% (n = 5), with no statistically significant difference among severe (4.8%), moderate (3.2%), and no/mild PH (0%) groups (p = 0.518). ICU stay was significantly longer in patients with severe PH (p = 0.042). There was no significant difference in mortality based on predominant valve lesion (mitral stenosis or regurgitation) across PH groups (p = 0.625, p = 0.172). The 30-day readmission rate was 12.5%, with no significant variation across PH categories (p = 0.194).ConclusionThe severity of PH did not significantly impact early postoperative outcomes or in-hospital mortality following valve surgery for RHD. These findings support the feasibility and safety of surgical intervention even in patients with severe PH and provide a critical foundation for future studies in Yemen.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"19-25"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sex does not influence outcomes in valvular heart surgery due to infective endocarditis: A systematic review and meta-analysis. 性别不影响感染性心内膜炎引起的心脏瓣膜手术的结果：一项系统回顾和荟萃分析。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-01-01 Epub Date: 2025-12-10 DOI: 10.1177/02184923251405504

Romasa Zeb, Sarmishtha Sharma, Ramal Abdullah, Manav Patel, Sandhya Nallamotu, Flavio Veintemilla-Burgos, Brightline Misba Kovil Thangam, Boddu Abhinav Sai, Gurvir Kaur

{"title":"Sex does not influence outcomes in valvular heart surgery due to infective endocarditis: A systematic review and meta-analysis.","authors":"Romasa Zeb, Sarmishtha Sharma, Ramal Abdullah, Manav Patel, Sandhya Nallamotu, Flavio Veintemilla-Burgos, Brightline Misba Kovil Thangam, Boddu Abhinav Sai, Gurvir Kaur","doi":"10.1177/02184923251405504","DOIUrl":"10.1177/02184923251405504","url":null,"abstract":"This systematic review and meta-analysis aimed to evaluate sex-based differences in surgical outcomes among patients with infective endocarditis (IE). A comprehensive search of three major medical databases identified ten studies encompassing 16,763 patients who underwent valvular surgery for IE. Of these, 70.8% were male (n = 11,873), and 29.2% were female (n = 4890). Female patients were generally older at the time of surgery. The most common causative pathogen was Staphylococcus aureus (28.4%), followed by Streptococcus (22.5%) and Enterococcus (4.1%). Females demonstrated lower aortic valve involvement (risk ratio [RR]: 0.80, 95% confidence interval [CI]: 0.67-0.96) but higher mitral valve involvement (RR: 1.30, 95% CI: 1.17-1.45, p < 0.001). They also had a reduced prevalence of Streptococcus (RR: 0.89, 95% CI: 0.81-0.98, p = 0.02) and Enterococcus (RR: 0.71, 95% CI: 0.62-0.82, p = 0.03) infections and a lower risk of abscess formation (RR: 0.87, 95% CI: 0.76-0.99, p = 0.03) compared to males. There was a significant difference in the in-hospital mortality between female and male patients (RR: 1.30, 95% CI: 1.04-1.61, p = 0.02). No significant sex-related differences were observed in the duration of hospitalization. However, significant sex-related differences were observed in the incidence of postoperative stroke (RR: 1.10, 95% CI: 1.02-1.20, p = 0.02). In summary, female patients undergoing surgery for IE face a higher risk of both in-hospital mortality and postoperative stroke compared to males, underscoring clinically meaningful sex-based disparities in short-term surgical outcomes. These findings emphasize the need for further studies to clarify these observations. (PROSPERO Registration: CRD42024602013).","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"82-91"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145715991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of the primary tumor on outcomes after the pleuropericardial window in malignant pericardial effusion. 恶性心包积液胸膜心包窗术后原发肿瘤对预后的影响。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-01-01 Epub Date: 2025-12-15 DOI: 10.1177/02184923251407368

Jakraphan Yu, Apichat Tantraworasin, Sira Laohathai

{"title":"Effect of the primary tumor on outcomes after the pleuropericardial window in malignant pericardial effusion.","authors":"Jakraphan Yu, Apichat Tantraworasin, Sira Laohathai","doi":"10.1177/02184923251407368","DOIUrl":"10.1177/02184923251407368","url":null,"abstract":"IntroductionMalignant pericardial effusion (MPE) is uncommon in advanced-stage cancer. However, MPE can result in a life-threatening condition such as cardiac tamponade. Surgical drainage is routinely recommended as a rapid and effective treatment for this disease. This study aims to investigate the overall outcome after pleuropericardial window surgery in patients with MPE.MethodThis study enrolled 148 patients with MPE who underwent pleuropericardial window surgery from 1990 to 2020. The patients were grouped based on their history of lung cancer or nonlung cancer. A Kaplan-Meier survival analysis was performed to compare the two groups of patients. Depending on the variable type, the chi-square test, t test, or the Mann-Whitney U test was used to compare the two groups in terms of intraoperative and postoperative outcomes. Cox regression analysis was performed to demonstrate the mortality risk.ResultsA total of 148 patients underwent pleuropericardial window surgery during the study period; 92 patients had lung cancer, and 56 patients had nonlung cancer. In the subgroup analysis, there was no difference in age, underlying disease, or surgical approach. With regard to intraoperative outcomes, no differences were observed in hospital stay or postoperative complications. The Kaplan-Meier survival analysis revealed that patients with nonlung cancer survived longer than those with lung cancer did (p = .001).ConclusionPleuropericardial window surgery is a safe and effective procedure with acceptable postoperative outcomes. Among patients who have undergone this surgery, the presence of lung cancer, as compared with nonlung cancer, worsened their survival rate.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"26-32"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bicuspidization of the unicuspid aortic valve using the pericardial advancement technique. 使用心包推进技术进行单尖瓣主动脉瓣的双尖化。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-01-01 Epub Date: 2025-11-17 DOI: 10.1177/02184923251396205

Hiroshi Munakata, Yutaka Okita

引用次数: 0

Predictor of conversion from video-assisted thoracoscopic surgery (VATS) to conventional open approach. 预测从视频辅助胸腔镜手术（VATS）到传统开放入路的转换。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-01-01 Epub Date: 2025-12-19 DOI: 10.1177/02184923251407839

Mohamed Elshalkamy, Sameh Ibrahim Elsayed, Amr Abdellateef, Mohamed Ahmed Gabr, Mohammed Keshta

{"title":"Predictor of conversion from video-assisted thoracoscopic surgery (VATS) to conventional open approach.","authors":"Mohamed Elshalkamy, Sameh Ibrahim Elsayed, Amr Abdellateef, Mohamed Ahmed Gabr, Mohammed Keshta","doi":"10.1177/02184923251407839","DOIUrl":"10.1177/02184923251407839","url":null,"abstract":"Video-assisted thoracoscopic surgery is increasingly used for thoracic procedures due to its advantages in reducing postoperative pain and hospital stay. This study aimed to identify predictors and underlying reasons for conversion from video-assisted thoracoscopic surgery to open approach and to assess the impact of such conversions on clinical outcomes, including hospital stay duration, morbidity, and mortality, which remain debated in current literature.Patients and MethodsThis retrospective observational study was conducted on 950 adult patients between May 2016 and March 2023 who underwent elective thoracic surgery. Demographic data, comorbidities, perioperative variables, and outcomes were documented and analyzed. Univariate logistic and multivariate regression analyses were conducted to identify independent predictors of conversion.ResultsA total of 638/950 patients scheduled for video-assisted thoracoscopic surgery are included in the analysis. The mean age of the cohort was 35.68 years, with 61.9% being male. Conversion to open thoracotomy was required in 3.13% (n = 20) of cases, primarily due to anatomical challenges (50%, n = 10), vascular injury (45%, n = 9), and technical difficulties (5%, n = 1). Significant predictors of conversion included diabetes mellitus (p = 0.049), hypertension (p = 0.031), and malignant pathology (p = 0.022). Penalized regression identified anatomical difficulty (OR: 62.4; p = 0.0085) and vascular injury (OR: 57.8; p = 0.0026) as independent predictors of conversion, whereas diabetes, hypertension, and malignant pathology did not retain statistical significance after adjustment.ConclusionHypertension and malignancy were significant only in multivariate analysis, while anatomical challenges and vascular injuries remained significant in penalized regression.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"43-52"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hemolysis due to aortic valve stenosis and an inverted inner felt strip after ascending aortic replacement. 升主动脉置换术后主动脉瓣狭窄引起的溶血和内陷毛毡条。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-11-01 Epub Date: 2025-10-09 DOI: 10.1177/02184923251385603

Kazunori Koyama, Satoru Nishida, Shintaro Takago

引用次数: 0

Short-term outcomes in upper-hemi sternotomy for ascending and hemi-arch aortic repair with and without concomitant aortic valve replacement or repair. 上半胸骨切开术进行升主动脉和半弓主动脉修复的短期疗效，并伴有或不伴有主动脉瓣置换术或修复。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-11-01 Epub Date: 2025-09-25 DOI: 10.1177/02184923251382609

Eric Robinson, Tom Liu, Beth Whippo, Kira Gerweck, Abigail S Baldridge, S Chris Malaisrie, Douglas R Johnston, Duc T Pham, Christopher K Mehta

{"title":"Short-term outcomes in upper-hemi sternotomy for ascending and hemi-arch aortic repair with and without concomitant aortic valve replacement or repair.","authors":"Eric Robinson, Tom Liu, Beth Whippo, Kira Gerweck, Abigail S Baldridge, S Chris Malaisrie, Douglas R Johnston, Duc T Pham, Christopher K Mehta","doi":"10.1177/02184923251382609","DOIUrl":"10.1177/02184923251382609","url":null,"abstract":"IntroductionFull median sternotomy is the traditional operative approach for ascending aortic aneurysm repair. Minimally invasive approaches are being used more frequently by surgeons to enhance recovery.MethodsThis is a single-institution, multi-surgeon retrospective review of adult patients who underwent elective aneurysm surgery involving the ascending aorta and proximal arch between 1 January 2015 and 30 June 2024 with and without aortic valve replacement/repair. Exclusion criteria included re-operation, aortic root procedure, and other concomitant valve procedure or coronary artery bypass grafting. Operative and short-term clinical outcomes were compared between patients undergoing upper hemi-sternotomy (UHS) and full median sternotomy (FMS).ResultsAmong 166 patients in the analysis dataset, 84 (50.6%) underwent FMS and 82 (49.4%) underwent UHS. UHS and FMS groups had similar median cardiopulmonary bypass time (129 vs. 137 min, p = 0.436) and median aortic cross-clamp time (92 vs. 96.5 min, p = 0.900). Patients undergoing UHS were more likely to be discharged home (93.9% vs. 83.3%, p = 0.032) and had a shorter length of stay (5 vs. 6 days, p < 0.001) compared to FMS. 30-day mortality occurred in one patient (1.2%) in the FMS group.ConclusionsElective aneurysm repair can be performed safely with less invasive hemi-sternotomy approaches. Minimally invasive approaches enhance recovery after surgery. Future prospective studies are needed to clarify potential benefits in postoperative pain and quality of life.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"275-280"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transcatheter aortic valve implantation in small surgical aortic prosthesis for small body size patients. 经导管主动脉瓣植入术在小体型患者手术主动脉假体中的应用。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-11-01 Epub Date: 2025-10-30 DOI: 10.1177/02184923251331338

Hideki Kitamura, Yuichiro Fukumoto, Yusuke Imamura, Ai Kagase, Masanori Yamamoto

{"title":"Transcatheter aortic valve implantation in small surgical aortic prosthesis for small body size patients.","authors":"Hideki Kitamura, Yuichiro Fukumoto, Yusuke Imamura, Ai Kagase, Masanori Yamamoto","doi":"10.1177/02184923251331338","DOIUrl":"10.1177/02184923251331338","url":null,"abstract":"BackgroundValve-in-valve transcatheter aortic valve implantation (TAVI) has been confirmed as effective. Additionally, aortic annular enlargement has been advocated to avoid small valves at initial surgery, because they can cause patient-prosthesis mismatch, particularly after TAVI in surgical aortic valve replacement (SAVR). However, results remain unclear for TAVI with a small initial aortic valve in small body size patients. The purpose is to clarify the TAVI valve function after a small surgical valve in a small body population.MethodsWe retrospectively screened 52 cases of TAVI in SAVR performed from 2018 to 2024. Post-procedural TAVI valve function and post-procedural New York Heart Association (NYHA) functional class were examined.ResultsOf 52 TAVI in SAVR cases, 16 cases had a 19 mm initial surgical aortic valve, and 19 cases had 21 mm. The mean age of these 35 cases was 83.1 years old and 20% were male. Mean body surface area was 1.39 cm2. After TAVI in SAVR in 35 cases, the mean pressure gradient was 18.5 mmHg, and the effective orifice area (EOA) was 1.10 cm2. Even after 19-mm SAVR, the mean pressure gradient was 13.4 mmHg, and EOA was 1.13 cm2, excluding 3 cases of off-label use and 3 cases of balloon-expandable valves. At the time of last follow-up, 86.2% of survivors remained in NYHA I or II.ConclusionsSelf-expanding TAVI in a certain type of SAVR provided sufficient valve function in a population with small body size, even after small-sized initial surgical prostheses. Surgeons need to ensure that the proper type and size of surgical prosthesis are implanted.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"269-274"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0