St. Jude Trifecta Versus Carpentier-Edwards Perimount Magna valves for the treatment of aortic stenosis: comparison of early Doppler-Echocardiography and hemodynamic performance

  • Giovanni Minardi Department of Cardiovascular Science, “S. Camillo-Forlanini” Hospital, Rome, Italy.
  • Amedeo Pergolini Department of Cardiovascular Science, “S. Camillo-Forlanini” Hospital, Rome, Italy.
  • Giordano Zampi | giordano.zampi@alice.it U.O.C. Cardiologia ed Emodinamica Ospedale Belcolle, Viterbo, Italy.
  • Giovanni Pulignano Department of Cardiovascular Science, “S. Camillo-Forlanini” Hospital, Rome, Italy.
  • Gaetano Pero Department of Cardiovascular Science, “S. Camillo-Forlanini” Hospital, Rome, Italy.
  • Fabio Sbaraglia Department of Cardiovascular Science, “S. Camillo-Forlanini” Hospital, Rome, Italy.
  • Paolo Giuseppe Pino Department of Cardiovascular Science, “S. Camillo-Forlanini” Hospital, Rome, Italy.
  • Giovanni Cioffi Department of Cardiology, Villa Bianca Hospital, Trento, Italy.
  • Francesco Musumeci Department of Cardiovascular Science, “S. Camillo-Forlanini” Hospital, Rome, Italy.

Abstract

Objective. Aim of this study was to compare the hemodynamic profiles of 2 aortic valve bioprostheses: the Carpentier Edwards Perimount Magna (CEPM) valve and the Trifecta valve. Methods. 100 patients who underwent AVR for severe symptomatic AS between September 2011 and October 2012 were analyzed by means of standard trans-thoracic Doppler-echocardiography. Results. Mean and peak gradients were significantly lower for the 21 mm Trifecta vs CEPM (11 ± 4 vs 15 ± 4 mmHg, and 20 ± 6 vs 26 ± 7 mmHg, respectively; all p < 0.05) and the 23 mm Trifecta vs CEPM (8 ± 2 vs 14 ± 4 mmHg, and 17 ± 6 vs 25 ± 9 mmHg; all p < 0.05). Effective orifice area tended to be slightly higher for the Trifecta valve. Conclusion. The new bioprosthetic valve Trifecta has an excellent hemodynamic profile, and lower trans-prosthesic gradients when compared to CEPM valve.

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Published
2015-11-25
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Original Articles
Keywords:
aortic stenosis, bioprosthetic valve, aortic valve replacement.
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How to Cite
Minardi, G., Pergolini, A., Zampi, G., Pulignano, G., Pero, G., Sbaraglia, F., Pino, P. G., Cioffi, G., & Musumeci, F. (2015). St. Jude Trifecta Versus Carpentier-Edwards Perimount Magna valves for the treatment of aortic stenosis: comparison of early Doppler-Echocardiography and hemodynamic performance. Monaldi Archives for Chest Disease, 80(3). https://doi.org/10.4081/monaldi.2013.74