Original Articles
Vol. 80 No. 3 (2013): Cardiac series
https://doi.org/10.4081/monaldi.2013.74

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

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Received: 25 November 2015
Accepted: 25 November 2015
Published: 25 November 2015
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aortic stenosis, bioprosthetic valve, aortic valve replacement.

Authors

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.
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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How to Cite



“St. Jude Trifecta Versus Carpentier-Edwards Perimount Magna Valves for the Treatment of Aortic Stenosis: Comparison of Early Doppler-Echocardiography and Hemodynamic Performance”. 2015. Monaldi Archives for Chest Disease 80 (3). https://doi.org/10.4081/monaldi.2013.74.