Aortic Xenograft Hemodynamics
Conditions
Brief summary
The hemodynamic performance of two supraannular aortic xenografts (Trifecta, St. Jude Medical and Perimount Magna Ease, Edwards Lifescience) will be compared using rest- and stress echocardiography in a randomized prospective study. Furthermore, the prostheses' influence on postoperative outcome will be compared using spiroergometry, quality of life questionnaire and heart failure biomarkers.
Interventions
After randomization, the aortic xenograft is implanted in the standard fashion
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients between 18 and 75 years * Elective aortic valve replacement in patients with predominant aortic stenosis * including concomitant CABG and/or atrial fibrillation ablation and/or supracoronary aortic replacement * Informed consent including willingness for stress echocardiography, spiroergometry and quality of life examination after 6 months. * Native German speakers (quality of life questionnaire in German language)
Exclusion criteria
* Isolated aortic regurgitation * Concomitant aortic regurgitation \> 2° * Endocarditis * LVEF \<40% * Concomitant other valve surgery * s/p valve surgery * Contraindication for stress echocardiography
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Transprosthetic pressure gradient at stress exercise echocardiography | Echo at follow up stress echo (at 10 months) |
Secondary
| Measure | Time frame |
|---|---|
| Transprosthetic pressure gradient at discharge echo | Echo at discharge (usually postoperative day 5 to 7) |
| Left ventricular mass regression calculated by echocardiography (gram) | Echo at discharge and at follow up (usually at postoperative day 5 to 7 and at 10 months) |
| Quality of life using the EQ-5D-3L questionnaire | 1 to 5 days before surgery and at follow up (10 months) |
| BNP plasma level | 1 to 5 days before surgery and at follow up (10 months) |
Countries
Germany