Commentary: Which aortic valve prosthesis to choose in end-stage renal failure.

In the present study the authors retrospectively evaluated the longitudinal hemodynamic changes of bioprosthetic aortic valves implanted in hemodialysis patients in an effort to document the frequency of structural valvular deterioration (SVD), as detected by echocardiography.1 When compared to propensity matched non-HD patients they discovered early onset and accelerated progression of SVD as evidenced by significant per annum decrements in effective orifice area and increases in mean pressure gradient and peak velocity that started as early as two years post implant.
Source: Seminars in Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: ADULT – Commentary Source Type: research