Journal of the American Society of Echocardiography
Volume 23, Issue 6 , Pages 656-666 , June 2010

Comprehensive Echocardiographic Assessment of Normal Mitral Medtronic Hancock II, Medtronic Mosaic, and Carpentier-Edwards Perimount Bioprostheses Early after Implantation

  • Lori A. Blauwet, MD

      Affiliations

    • Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota
    • ,
  • Joseph F. Malouf, MD

      Affiliations

    • Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota
    • ,
  • Heidi M. Connolly, MD

      Affiliations

    • Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota
    • ,
  • David O. Hodge, MS

      Affiliations

    • Division of Biomedical Informatics and Biostatistics, Mayo Clinic, Rochester, Minnesota
    • ,
  • Katie N. Evans, BA

      Affiliations

    • Division of Biomedical Informatics and Biostatistics, Mayo Clinic, Rochester, Minnesota
    • ,
  • Regina M. Herges, BS

      Affiliations

    • Division of Biomedical Informatics and Biostatistics, Mayo Clinic, Rochester, Minnesota
    • ,
  • Thoralf M. Sundt III, MD

      Affiliations

    • Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota
    • ,
  • Fletcher A. Miller Jr., MD

      Affiliations

    • Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota
    • Corresponding Author InformationReprint requests: Fletcher A. Miller Jr, MD, Division of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.

References 

  1. Bitar JN, Lechin ME, Salazar G, Zoghbi WA. Doppler echocardiographic assessment with the continuity equation of St. Jude medical mechanical prostheses in the mitral valve position. Am J Cardiol. 1995;76:287–293
  2. Fernandes V, Olmos L, Nagueh SF, Quinones MA, Zoghbi WA. Peak early diastolic velocity rather than pressure half-time is the best index of mechanical prosthetic mitral valve function. Am J Cardiol. 2002;89:704–710
  3. Dumesnil JG, Honos GN, Lemieux M, Beauchemin J. Validation and applications of mitral prosthetic valvular areas calculated by Doppler echocardiography. Am J Cardiol. 1990;65:1443–1448
  4. Malouf JF, Ballo M, Hodge DO, Herges RM, Orszulak TA, Miller FA. Doppler echocardiography of normal Starr-Edwards mitral prostheses: a comprehensive function assessment including continuity equation and time-velocity integral ratio. J Am Soc Echocardiogr. 2005;18:1399–1403
  5. Malouf JF, Ballo M, Connolly HM, Hodge DO, Herges RM, Mullany CJ, et al. Doppler echocardiography of 119 normal-functioning St. Jude medical mitral valve prostheses: a comprehensive assessment including time-velocity integral ratio and prosthesis performance index. J Am Soc Echocardiogr. 2005;18:252–256
  6. Blauwet LA, Malouf JF, Connolly HM, Hodge DO, Herges RM, Sundt TM, et al. Doppler echocardiography of 79 normal CarboMedics mitral prostheses: a comprehensive assessment including time-velocity integral ratio and prosthesis performance index. J Am Soc Echocardiogr. 2007;20:1125–1130
  7. Blauwet LA, Malouf JF, Connolly HM, Hodge DO, Evans KN, Herges RM, et al. Doppler echocardiography of 240 normal Carpentier-Edwards Duraflex porcine mitral bioprostheses: a comprehensive assessment including time velocity integral ratio and prosthesis performance index. J Am Soc Echocardiogr. 2009;22:388–393Epub 2009 Mar 9
  8. Zoghbi WA, Chambers JB, Dumesnil JG, Foster E, Gottdiener JS, Grayburn PA, et al. American Society of Echocardiography's Guidelines and Standards Committee; Task Force on Prosthetic Valves; American College of Cardiology Cardiovascular Imaging Committee; Cardiac Imaging Committee of the American Heart Association; European Association of Echocardiography; European Society of Cardiology; Japanese Society of Echocardiography; Canadian Society of Echocardiography; American College of Cardiology Foundation; American Heart Association; European Association of Echocardiography; European Society of Cardiology; Japanese Society of Echocardiography; Canadian Society of Echocardiography Recommendations for evaluation of prosthetic valves with echocardiography and Doppler ultrasound: a report from the American Society of Echocardiography's Guidelines and Standards Committee and the Task Force on Prosthetic Valves, developed in conjunction with the American College of Cardiology Cardiovascular Imaging Committee, Cardiac Imaging Committee of the American Heart Association, the European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography and the Canadian Society of Echocardiography, endorsed by the American College of Cardiology Foundation, American Heart Association, European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography, and Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2009;22:975–1014
  9. Dumesnil JG, Yoganathan AP. Valve prosthesis hemodynamics and the problem of high transprosthetic pressure gradients. Eur J Cardiothorac Surg. 1992;6(Suppl 1):S34–S37
  10. Magne J, Mathieu P, Dumesnil JG, Tanne D, Dagenais F, Doyle D, et al. Impact of prosthesis-patient mismatch on survival after mitral valve replacement. Circulation. 2007;115:1417–1425Epub 2007 Mar 5
  11. Lam BK, Chan V, Hendry P, Ruel M, Masters R, Bedard P, et al. The impact of patient-prosthesis mismatch on late outcomes after mitral valve replacement. J Thorac Cardiovasc Surg. 2007;133:1464–1473Epub 2007 Apr 27
  12. David TE, Armstrong S, Sun Z. Clinical and hemodynamic assessment of the Hancock II bioprosthesis. Ann Thorac Surg. 1992;54:661–667
  13. Riess FC, Bader R, Cramer E, Hansen L, Kleijnen B, Wahle G, et al. Hemodynamic performance of the Medtronic Mosaic porcine bioprosthesis up to ten years. Ann Thorac Surg. 2007;83:1310–1318
  14. Eichinger WB, Botzenhardt F, Gunzinger R, Kemkes BM, Sosnowski A, Maiza D, et al. European experience with the Mosaic bioprosthesis. J Thorac Cardiovasc Surg. 2002;124:333–339
  15. Thomson DJ, Jamieson WR, Dumesnil JG, Busse EF, Peniston CM, Metras J, et al. Medtronic Mosaic porcine bioprosthesis satisfactory early clinical performance. Ann Thorac Surg. 1998;66(6 Suppl):S122–S125
  16. Jasinski MJ, Kadziola Z, Keal R, Sosnowski AW. “Mosaic” Medtronic bioprosthetic valve replacement clinical results and hemodynamical performance. J Cardiovasc Surg (Torino). 2000;41:181–186
  17. Fradet G, Bleese N, Busse E, Jamieson E, Raudkivi P, Goldstein J, et al. The Mosaic valve clinical performance at seven years: results from a multicenter prospective clinical trial. J Heart Valve Dis. 2004;13:239–246
  18. Goetze S, Brechtken J, Agler DA, Thomas JD, Sabik JF, Jaber WA. In vivo short-term Doppler hemodynamic profiles of 189 Carpentier-Edwards Perimount pericardial bioprosthetic valves in the mitral position. J Am Soc Echocardiogr. 2004;17:981–987
  19. Firstenberg MS, Morehead AJ, Thomas JD, Smedira NG, Cosgrove DM, Marchand MA. Carpentier-Edwards Perimount Investigators. Short-term hemodynamic performance of the mitral Carpentier-Edwards Perimount pericardial valve. Ann Thorac Surg. 2001;71(5 Suppl):S285–S288
  20. Marquez S, Hon RT, Yoganathan AP. Comparative hydrodynamic evaluation of bioprosthetic heart valves. J Heart Valve Dis. 2001;10:802–811

 Conflict of interest: None.

 Portions of this manuscript have been published in: Blauwet LA, Malouf JF, Connolly HM, Hodge DO, Herges RM, Sundt TM 3rd, et al. Doppler echocardiography of 79 normal CarboMedics mitral prostheses: a comprehensive assessment including time-velocity integral ratio and prosthesis performance index. J Am Soc Echocardiogr 2007;20:1125-30.

PII: S0894-7317(10)00278-6

doi: 10.1016/j.echo.2010.03.031

Journal of the American Society of Echocardiography
Volume 23, Issue 6 , Pages 656-666 , June 2010

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