Abstract
Selection of the most appropriate type of aortic valve prosthesis (mechanical or biologic) for patients 50–70 years of age is a matter of frequent debate. The purpose of this article is to review overlooked concepts and misconceptions in valve-related complications, prosthesis durability, and late survival to aid decision making in contemporary practice. A trend favoring improved long-term survival was found among patients who receive a mechanical prosthesis compared to a biologic substitute. Additionally, an acceptably low rate of long-term valve-related thromboembolism and hemorrhage was found among those with mechanical prostheses. Implantation of a biologic valve substitute did not appear to reduce the risk of thromboembolism, may not eliminate the need for long-term anticoagulation and may be associated with an increased risk of late mortality. These findings may aid providers (and patients) in the preoperative consultation and seem to support consideration of a mechanical heart valve substitute over a biologic valve for patients 50–70 years age.
Original language | English (US) |
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Pages (from-to) | 26-30 |
Number of pages | 5 |
Journal | Progress in Cardiovascular Diseases |
Volume | 72 |
DOIs | |
State | Published - May 1 2022 |
Keywords
- Aortic valve replacement
- Valvular heart disease
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine