Predicting postoperative PPM and its real clinical consequences

June 21, 2022

Dr. Alisson Duncan

MVT Aortic 2022, vol.1

PPM can be predicted and therefore, prevented

How can we measure, normalize, and standardize various PPM-related assessments and risks?

Make sure to consider the body surface area in relation to the transvalvular gradient, especially during physical activity or exercise

Prof. Augusto D’Onofrio

MVT Aortic 2022, vol.1

– Not only about hemodynamics, this lecture provides comparisons among three bioprostheses

– Similar clinical outcomes, better hemodynamic results, and shorter ICU stays for rapid deployment valves… but newer bioprosthesis tissue technology may raise the bar even higher

Prof. Alessandro Della Corte

MVT Aortic 2022, vol.1

– Patients with an “ascending” phenotype? A separate vale and ascending graft replacement procedure is an option

– Patients with a “root” phenotype? Consider addressing the root earlier (50 mm root diameter)

– Bentall is still the gold standard, but valve-sparing procedures have similarly good results

Prof. Ruggero De Paulis

MVT Aortic 2022, vol.1

– First and foremost, not all bicuspid aortic valves are the same

– Many post-operative measurements and goals are included within to help guide you to optimal patient outcomes

– Check out the insight provided about valve-sparing, valve repair, external annuloplasty, and more

Prof. Alessandro Della Corte

MVT Aortic 2022, vol.1

– New classification system and nomenclature of bicuspid aortic valve (and bicuspid aortic valve disease)

– Genes are important, but a single gene may contribute to fewer than 1% of cases

– Different valve repair techniques according to valve phenotype

Prof. Marjan Jahangiri

MVT Aortic 2022, vol.1

– Pay attention to comorbidities, the anticoagulation choice may not as simple as it seems

– Be aware of the limitations of the currently available studies, question them in a logical manner

Prof. Joseph Bavaria

MVT Aortic 2022, vol.1

Prof. Michael Borger

MVT Aortic 2022, vol.1

-The “aortic size paradox”: an interesting paradox, indeed

-Length? Diameter? Which should we pay more attention to?

-Be sure to pay attention to genetics, biomarkers, abnormal flow, other risk factors, and more

Prof. Friedhelm Beyersdorf

MVT Aortic 2022, vol.1

Guidelines: based on scientific data, not an individual hospital’s, country’s, or region’s practices.

It’s important to truly understand the recommendations and evidence classifications.

Pay attention to the details in phrasing.

Prof. Bart Meuris

MVT Aortic 2022, vol.1

Dr. Douglas Johnston

STS annual meeting 202

Insights from INDURE registry

Prof. Ruggero De Paulis

Virtual Industry Symposium

Prof. Suwalski – MVT Intermediate 2021

Prof. Solinas – MVT Intermediate 2021

Prof. Falk – MVT Intermediate 2021

Dr. Farber – MVT Intermediate

Dr. Pasic – MVT Intermediate 2021

Prof. Benussi – MVT Intermediate 2021

Dr. Alison Duncan – MVT Intermediate 2021