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Valve deterioration: A victim of construct over time?
Ali F Hassanabad1, Muhammad R Ahsan1, Makoto Hibino2
1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, Calgary, Alberta, Canada.
Journal of Cardiac Surgery
|February 13, 2022
Summary
Surgical aortic valve replacement using the Trifecta heart valve showed higher rates of valve failure compared to the Magna/Magna Ease valve. This study highlights potential longevity concerns with the Trifecta valve, suggesting surgeons consider this data.
Area of Science:
- Cardiovascular Surgery
- Biomaterials Science
- Medical Device Engineering
Background:
- Surgical aortic valve replacement (sAVR) is a common cardiac procedure.
- Prosthetic heart valves include biological and mechanical types.
- Biological valves are susceptible to structural valve deterioration (SVD) and reintervention.
Purpose of the Study:
- To assess the longevity and failure rates of the Trifecta heart valve in patients undergoing sAVR.
- To compare the performance of the Trifecta valve against the Magna/Magna Ease valve.
Main Methods:
- Retrospective study utilizing institutional data.
- Inclusion of patients who underwent sAVR with either a Trifecta or Magna/Magna Ease prosthetic valve.
- Analysis of valve failure incidence and SVD.
Main Results:
- Patients receiving the Trifecta heart valve demonstrated higher rates of valve failure compared to those receiving the Magna/Magna Ease valve.
- Baseline differences between patient groups were noted but did not negate the observed disparity in valve performance.
Conclusions:
- The Trifecta heart valve may be associated with increased risks of early failure and SVD.
- Surgeons should be aware of emerging clinical data regarding the long-term performance of the Trifecta valve.
- Further research is warranted to elucidate mechanisms of Trifecta valve failure.
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