We report a single center's 10-year experience with 21 consecutive cases of
repeat aortic valve replacement for prosthesis-patient mismatch (P-PM) in
which there was no hospital mortality among 12 patients treated for isolate
d P-PM. With an overall survival of 92% at a median follow-up of 4.5 years
and functional class I symptoms in most survivors (73%), we conclude that r
epeat surgery for isolated P-PM has a relatively low mortality and a good i
ntermediate-term clinical outcome.