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Background <p>The expanding use of bioprosthetic aortic valve replacements has raised concerns regarding the long-term durability of bioprosthetic valve prostheses. While lipoprotein(a) [Lp(a)] is implicated in the pathogenesis of native aortic valve stenosis, its impact on bioprosthetic valve degeneration leading to reintervention remains unclear.</p> Objective <p>To evaluate the association between Lp(a) levels and structural degeneration of aortic bioprosthetic valves in patients undergoing secondary aortic valve procedure.</p> Methods <p>We retrospectively analyzed 389 patients with available Lp(a) values who underwent replacement of a degenerated aortic bioprosthetic valves between February 2001 and September 2024. Endpoint was the interval from initial surgical aortic valve replacement (SAVR) to the second aortic valve procedure either as transvascular or surgical replacement. Patients were stratified by Lp(a) levels into low (&lt; 105&#xa0;nmol/L) and high (≥ 105&#xa0;nmol/L) Lp(a) groups. Associations between Lp(a) levels and time-to-reintervention were assessed using Kaplan–Meier survival analysis.</p> Results <p>Out of an initial cohort of 909 patients, 389 met the inclusion criteria. Of these, 296 patients showed low and 93 high Lp(a) levels. Baseline characteristics were comparable between both groups. The median time from initial valve implantation to the second aortic valve intervention did not differ significantly by Lp(a) group. Kaplan–Meier analysis demonstrated no significant association between elevated Lp(a) and time-to-reintervention (hazard ratio [HR] 0.81; 95% confidence interval [CI] 0.58 – 1.13; p = 0.215).</p> Conclusions <p>In this cohort of patients undergoing secondary aortic valve procedure, elevated Lp(a) levels were not associated with earlier need for reintervention. Unlike in native aortic stenosis, our findings do not support a clinically meaningful role for Lp(a) in bioprosthetic aortic valve degeneration.</p> Graphical Abstract <p></p>

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Impact of lipoprotein(a) on the durability of aortic bioprosthetic valves

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月18日

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  • Finn Syryca,
  • Johannes Krefting,
  • Elisabeth Oertel,
  • Felix Wirth,
  • Costanza Pellegrini,
  • Tobias Rheude,
  • N. Patrick Mayr,
  • Stefan Holdenrieder,
  • Hector A. Alvarez-Covarrubias,
  • Moritz von Scheidt,
  • Thorsten Kessler,
  • Hendrik B. Sager,
  • Heribert Schunkert,
  • Adnan Kastrati,
  • Wolfgang Koenig,
  • Magdalena Erlebach,
  • Erion Xhepa,
  • Hendrik Ruge,
  • Michael Joner,
  • Markus Krane,
  • Teresa Trenkwalder

摘要

Background

The expanding use of bioprosthetic aortic valve replacements has raised concerns regarding the long-term durability of bioprosthetic valve prostheses. While lipoprotein(a) [Lp(a)] is implicated in the pathogenesis of native aortic valve stenosis, its impact on bioprosthetic valve degeneration leading to reintervention remains unclear.

Objective

To evaluate the association between Lp(a) levels and structural degeneration of aortic bioprosthetic valves in patients undergoing secondary aortic valve procedure.

Methods

We retrospectively analyzed 389 patients with available Lp(a) values who underwent replacement of a degenerated aortic bioprosthetic valves between February 2001 and September 2024. Endpoint was the interval from initial surgical aortic valve replacement (SAVR) to the second aortic valve procedure either as transvascular or surgical replacement. Patients were stratified by Lp(a) levels into low (< 105 nmol/L) and high (≥ 105 nmol/L) Lp(a) groups. Associations between Lp(a) levels and time-to-reintervention were assessed using Kaplan–Meier survival analysis.

Results

Out of an initial cohort of 909 patients, 389 met the inclusion criteria. Of these, 296 patients showed low and 93 high Lp(a) levels. Baseline characteristics were comparable between both groups. The median time from initial valve implantation to the second aortic valve intervention did not differ significantly by Lp(a) group. Kaplan–Meier analysis demonstrated no significant association between elevated Lp(a) and time-to-reintervention (hazard ratio [HR] 0.81; 95% confidence interval [CI] 0.58 – 1.13; p = 0.215).

Conclusions

In this cohort of patients undergoing secondary aortic valve procedure, elevated Lp(a) levels were not associated with earlier need for reintervention. Unlike in native aortic stenosis, our findings do not support a clinically meaningful role for Lp(a) in bioprosthetic aortic valve degeneration.

Graphical Abstract