Analysis of incidence and reasons for re-intervention after aortic valve replacement using the Trifecta aortic bioprosthesis

Fard, A., Mahmood, Z., Nair, S., Shaikhrezai, K. and Al-Attar, N. (2023) Analysis of incidence and reasons for re-intervention after aortic valve replacement using the Trifecta aortic bioprosthesis. Current Problems in Cardiology, 48(6), 101125. (doi: 10.1016/j.cpcardiol.2022.101125) (PMID:35114295)

Abstract

Introduction: Trifecta bioprosthesis claims favourable haemodynamic performance. However, reports of structural valve deterioration (SVD) raise concerns of its long-term durability. We assessed outcomes with the Trifecta valve over a 10-year period. Methods: All patients receiving Trifecta bioprostheses between October 2011 and October 2020 were included. Perioperative and survival characteristics were prospectively collated in an independent database. Re-intervention was recorded as a surrogate for SVD. Results: 944 patients (mean age 72.82 years ± 8.13, 58% male) underwent aortic valve replacement with the Trifecta valve. At 10-years, 1.4% of patients required a redo operation, giving an overall freedom from re-intervention of 98.6%. The mean time to re-intervention was 48.87 months. Survival was 73.58% and 76.92% in patients who did not require re-intervention vs re-intervention group, respectively. Conclusions: In a large, single-centre cohort, the Trifecta aortic bioprosthesis had a 1.4% all-cause re-intervention rate at 10-years, with insignificant impact on survival.

• Item Type: Articles
• Keywords: Bioprosthesis, aortic valve replacement, Trifecta, re-intervention, structural valve deterioration.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Shaikhrezai, Mr Kasra and Al-Attar, Mr Nawwar
• Authors: Fard, A., Mahmood, Z., Nair, S., Shaikhrezai, K., and Al-Attar, N.
• College/School: College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
• Journal Name: Current Problems in Cardiology
• Publisher: Elsevier
• ISSN: 0146-2806
• ISSN (Online): 1535-6280
• Published Online: 31 January 2022
• Copyright Holders: Copyright © 2022 Elsevier
• First Published: First published in Current Problems in Cardiology 48(6): 101125
• Publisher Policy: Reproduced in accordance with the publisher copyright policy