Hemodynamic stability during 17 years of the Carpentier-Edwards aortic pericardial bioprosthesis

Michael K. Banbury*, Delos M. Cosgrove, James D. Thomas, Eugene H. Blackstone, Jeevanantham Rajeswaran, J. Edward Okies, Robert M. Frater

*Corresponding author for this work

Research output: Contribution to journalArticle

93 Scopus citations

Abstract

Background. Long-term stability of the hemodynamic performance of commercially available Carpentier-Edwards stented bovine pericardial aortic bioprostheses (Perimount RSR) is unknown. To anticipate the fate of this bioprosthesis, we examined its hemodynamic performance up to 17 years using echocardiographic studies in a Premarket Approval cohort. Methods. Of 267 patients at four institutions in the Premarket Approval cohort, 85 had a total of 168 echocardiographic studies during a 17-year period of yearly follow-up examinations. These were reviewed and quantified in a core echocardiographic facility. Longitudinal data analysis was used to account for repeated, censored data. Results. Mean transvalvular gradient was inversely related to prosthesis size (p = 0.01), and possibly (p = 0.06) increased somewhat during the first 10 years of follow-up, then stabilized. Effective orifice area was larger in larger valve sizes (p = 0.01), declined somewhat during the first 10 years, and then began to increase again. Ejection fraction declined minimally (p = 0.2). In contrast to the rather stable hemodynamics, aortic regurgitation steadily increased from none to 1 to 2+ (p = 0.005), but rarely (< 10% at 17 years) progressed to 3+ or 4+. Conclusions. The Carpentier-Edwards aortic pericardial bioprosthesis can be anticipated to have an acceptable long-term transvalvular gradient and effective orifice size that will change trivially up to 17 years after implantation. Mild aortic regurgitation will develop progressively. This anticipated hemodynamic resilience supports continued clinical use of the Perimount Carpentier-Edwards bovine pericardial stented bioprosthesis.

Original languageEnglish (US)
Pages (from-to)1460-1465
Number of pages6
JournalAnnals of Thoracic Surgery
Volume73
Issue number5
DOIs
StatePublished - Jun 17 2002

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Hemodynamic stability during 17 years of the Carpentier-Edwards aortic pericardial bioprosthesis'. Together they form a unique fingerprint.

Cite this