Arq. Bras. Cardiol. 2021; 117(1): 37-38
Mechanical Prosthesis X Biological Prosthesis: an Individualized and Shared Decision
João Ricardo C. Fernandes
, Roney Orismar Sampaio
This Short Editorial is referred by the Research article "Late Outcomes of Aortic Valve Replacement with Bioprosthesis and Mechanical Prosthesis".
Surgical valve interventions are performed primarily in patients with severe valve heart disease, with associated symptoms and/or anatomical/hemodynamic consequences, and no contraindication to the procedure. The choice of prosthetic valve should be based on a shared decision-making process that must account for the trade-offs between durability (and the need for reintervention), bleeding, and thromboembolism.
The manuscript: “Late Outcomes of Aortic Valve Replacement with Bioprosthesis and Mechanical Prosthesis” is an observational retrospective study intended to evaluate the long-term follow-up of patients (n=202) who underwent aortic valve replacement, comparing biological (65.3%) and mechanical prostheses (34.7%). The patients were relatively young (mean age: 49 years), with predominantly degenerative aortic valve disease. On the other hand, 22% of the study population had rheumatic disease, the most prevalent etiology of valve disease in Brazil.
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