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Mid-term clinical and health-related quality of life outcomes for the Trifecta bioprosthesis

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Background

The Trifecta valve has been reported to have excellent hemodynamics. Controversy exists on occurrence of patient-prosthesis mismatch (PPM) and data on mid-term outcome is sparse. Health-related quality of life (HRQoL) assessment for the Trifecta valve has not been reported before. The aim of this study was to report the mid-term clinical and HRQoL outcomes in patients undergoing Trifecta valve implantation at our institution.

Methods

In this prospective, observational study, patients undergoing an aortic valve replacement (AVR) using the Trifecta valve were included. Data collection was retrospective from prospectively collected institutional database. Clinical and echocardiographic data were collected prospectively during follow-up. Quality of life was assessed using the Short Form-36 (SF-36) questionnaire.

Results

Forty-seven patients were included in the study of which 9 (19%) were women. Isolated AVR was carried out in 33 (70%) patients. In-hospital mortality and 30-day mortality were 1 (2.1%) and 2 (4.2%), respectively. With a mean indexed effective orifice area (iEOA) 0.96 ± 0.1, none of the patients had severe PPM. Moderate PPM was seen in 19%. The mean follow-up was 3 ± 1.7 years. The 5-year survival estimate was 83.2% in the overall cohort, 81.4% in the isolated and 87.5% in the concomitant procedure group. Freedom from re-operation and structural valve degeneration at 5 years was 95.7% and 97.8%. The mean physical health composite was 69.24 ± 2 and the mean mental health composite was 69.7 ± 25, indicating excellent mental and physical well-being among patients.

Conclusion

The Trifecta valve provides satisfactory hemodynamics, survival and freedom from re-operation and excellent HRQoL at mid-term follow-up.

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Authors and Affiliations

  1. Department of Cardiac Surgery, NH Rabindranath Tagore International Institute of Cardiac Sciences, 124, EM Bypass, Mukundapur, Kolkata, 700099, India

    Biswarup Purkayastha, Md Wasim Khan, Atanu Saha, Debasis Das, Lalit Kapoor, Mrinalendu Das & Pradeep Narayan

Authors
  1. Biswarup Purkayastha
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  2. Md Wasim Khan
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  3. Atanu Saha
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Correspondence to Pradeep Narayan.

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Ethical approval

Ethical approval was obtained from the institutional ethics committee (EC approval no.: NH-RTIICS/AP/031/2019) on 25 September, 2019.

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Obtained from all participants in writing.

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The study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments.

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The authors declare no competing interests.

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Purkayastha, B., Khan, M.W., Saha, A. et al. Mid-term clinical and health-related quality of life outcomes for the Trifecta bioprosthesis. Indian J Thorac Cardiovasc Surg 37, 496–505 (2021). https://doi.org/10.1007/s12055-021-01166-5

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  • DOI: https://doi.org/10.1007/s12055-021-01166-5

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