Long-Term Impact of Prosthesis-Patient Mismatch After Transcatheter Aortic Valve Replacement in Patients With Small Aortic Annuli.

Significant, valve size and type‐derived predicted PPM was associated with a nonsignificant trend toward higher 5‐year mortality (log‐rank p = 0.072), whereas significant, CT‐derived predicted PPM showed comparable mortality rates to those without significant predicted PPM (log‐rank p = 0.47).

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Although patients' age at TAVR showed a decreasing trend, and BSA was identified as a predictor of significant PPM, BSA itself remained stable throughout the study period (Supporting Information Data).

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While oversizing was not independently associated with freedom from significant PPM in this analysis, post‐dilatation demonstrated a strong trend toward a protective effect, consistent with a previous report of favorable outcomes following routine post‐dilatation for BEV [ 33 ].

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