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Essential Information on Surgical Heart Valve Characteristics for Optimal Valve Prosthesis Selection: Expert

Andras P Durko1, Philippe Pibarot2, Pavan Atluri3

  • 1Department of Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, Netherlands.

The Annals of Thoracic Surgery
|October 10, 2020
PubMed

Insights

Standardized Valve Charts are recommended to improve surgical heart valve (SHV) selection and assessment. This aims to ensure uniform information for clinicians and reduce prosthesis-patient mismatch.

Area of Science:

  • Cardiovascular Surgery
  • Biomedical Engineering
  • Regulatory Science

Background:

  • Optimal selection and post-operative assessment of surgical heart valves (SHVs) require comprehensive characteristic data.
  • Current methods for obtaining uniform SHV information are challenging despite existing regulatory frameworks.

Framework:

  • Established by the European Association for Cardio-Thoracic Surgery (EACTS), The Society of Thoracic Surgeons (STS), and American Association for Thoracic Surgery (AATS).
  • Comprised of multidisciplinary experts including surgeons, cardiologists, engineers, and regulatory representatives.

Implementation:

  • Formulates recommendations for transparent and uniform presentation of SHV physical dimensions, implant position, and hemodynamic performance.
  • Advocates for a standardized chart to assess the probability of prosthesis-patient mismatch.
  • Calls for valve manufacturers to provide essential SHV choice information on standardized Valve Charts.

Implications:

  • Enhances clinician understanding and decision-making in SHV selection.
  • Aims to improve patient outcomes by minimizing prosthesis-patient mismatch.
  • Promotes consistency and transparency in the surgical heart valve market.

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