Affordable Access

Results of aortic valve replacement in patients with a narrow aortic annulus: effects of enlargement of the aortic annulus.

Authors
Type
Published Article
Journal
The Annals of Thoracic Surgery
0003-4975
Publisher
Elsevier
Publication Date
Volume
31
Issue
2
Pages
111–116
Identifiers
PMID: 7458484
Source
Medline
License
Unknown

Abstract

Among 71 patients who underwent aortic valve replacement with a Björk-Shiley prosthesis, 13 (18.3%) had concomitant enlargement of the aortic annulus at the noncoronary cusp. Mean age of the 13 patients at operation was 34.4 years. Nine of them had combined mitral stenosis. One patient died in the early postoperative period, for an operative mortality of 7.7%. The aortic annulus before enlargement was 20.9 mm and after enlargement, 24.3 mm on the average. The net increase in diameter of the aortic annulus was 3.3 mm, which was statistically significant (p < 0.005). The tissue diameter of the prosthesis was 1.2 mm larger on the average than the aortic annulus diameter before enlargement, and a prosthesis at least one size larger could be implanted in the narrow aortic annulus.

Statistics

Seen <100 times