TY - JOUR
T1 - Standardized Definitions for Bioprosthetic Valve Dysfunction Following Aortic or Mitral Valve Replacement
T2 - JACC State-of-the-Art Review
AU - Heart Valve Collaboratory
AU - Pibarot, Philippe
AU - Herrmann, Howard C.
AU - Wu, Changfu
AU - Hahn, Rebecca T.
AU - Otto, Catherine M.
AU - Abbas, Amr E.
AU - Chambers, John
AU - Dweck, Marc R.
AU - Leipsic, Jonathon A.
AU - Simonato, Matheus
AU - Rogers, Toby
AU - Sathananthan, Janarthanan
AU - Guerrero, Mayra
AU - Ternacle, Julien
AU - Wijeysundera, Harindra C.
AU - Sondergaard, Lars
AU - Barbanti, Marco
AU - Salaun, Erwan
AU - Généreux, Philippe
AU - Kaneko, Tsuyoshi
AU - Landes, Uri
AU - Wood, David A.
AU - Deeb, G. Michael
AU - Sellers, Stephanie L.
AU - Lewis, John
AU - Madhavan, Mahesh
AU - Gillam, Linda
AU - Reardon, Michael
AU - Bleiziffer, Sabine
AU - O'Gara, Patrick T.
AU - Rodés-Cabau, Josep
AU - Grayburn, Paul A.
AU - Lancellotti, Patrizio
AU - Thourani, Vinod H.
AU - Bax, Jeroen J.
AU - Mack, Michael J.
AU - Leon, Martin B.
N1 - Publisher Copyright:
© 2022 The Authors
PY - 2022/8/2
Y1 - 2022/8/2
N2 - Bioprosthetic valve dysfunction (BVD) and bioprosthetic valve failure (BVF) may be caused by structural or nonstructural valve dysfunction. Both surgical and transcatheter bioprosthetic valves have limited durability because of structural valve deterioration. The main objective of this summary of experts participating in a virtual workshop was to propose standardized definitions for nonstructural and structural BVD and BVF following aortic or mitral biological valve replacement with the goal of facilitating research reporting and implementation of these terms in clinical practice. Definitions of structural BVF, based on valve reintervention or death, underestimate the true incidence of BVF. However, definitions solely based on the presence of high transprosthetic gradient at a given echocardiogram during follow-up overestimate the incidence of structural BVD and BVF. Definitions of aortic or mitral structural BVD must therefore include the confirmation by imaging of permanent structural changes to the leaflets alongside evidence of deterioration in valve hemodynamic function at echocardiography follow-up.
AB - Bioprosthetic valve dysfunction (BVD) and bioprosthetic valve failure (BVF) may be caused by structural or nonstructural valve dysfunction. Both surgical and transcatheter bioprosthetic valves have limited durability because of structural valve deterioration. The main objective of this summary of experts participating in a virtual workshop was to propose standardized definitions for nonstructural and structural BVD and BVF following aortic or mitral biological valve replacement with the goal of facilitating research reporting and implementation of these terms in clinical practice. Definitions of structural BVF, based on valve reintervention or death, underestimate the true incidence of BVF. However, definitions solely based on the presence of high transprosthetic gradient at a given echocardiogram during follow-up overestimate the incidence of structural BVD and BVF. Definitions of aortic or mitral structural BVD must therefore include the confirmation by imaging of permanent structural changes to the leaflets alongside evidence of deterioration in valve hemodynamic function at echocardiography follow-up.
KW - aortic valve replacement
KW - bioprosthetic valve dysfunction (BVD)
KW - bioprosthetic valve failure (BVF)
KW - mitral valve replacement
KW - Bioprosthesis/adverse effects
KW - Humans
KW - Mitral Valve/diagnostic imaging
KW - Treatment Outcome
KW - Prosthesis Design
KW - Heart Valve Prosthesis/adverse effects
KW - Transcatheter Aortic Valve Replacement/methods
KW - Prosthesis Failure
KW - Aortic Valve Stenosis/surgery
KW - Aortic Valve/diagnostic imaging
KW - Heart Valve Diseases/surgery
UR - http://www.scopus.com/inward/record.url?scp=85134485855&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85134485855&partnerID=8YFLogxK
U2 - 10.1016/j.jacc.2022.06.002
DO - 10.1016/j.jacc.2022.06.002
M3 - Review article
C2 - 35902178
AN - SCOPUS:85134485855
SN - 0735-1097
VL - 80
SP - 545
EP - 561
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 5
ER -