Webb6 apr. 2024 · Although aortic valve replacement (AVR) has been the standard of treatment for severe aortic stenosis, a small aortic annulus (SAA) poses significant challenges. Improvements in valve designs and evolution in surgical techniques have led to improved outcomes, however, the ideal prosthetic valve remains elusive. Methods Webb23 aug. 2024 · Implantation of a small aortic valve sometimes leads to high residual gradients, despite a normally functioning prosthesis. Patients with a small aortic annulus, especially those with a large body surface area, are at higher risk of prosthesis-patient mismatch, which is associated with worse clinical outcomes and decreased survival.
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Webb1 sep. 2015 · Posterior root enlargement is a useful technique for the management of a small aortic root and annulus and may result in lower transvalvular gradients and better functional outcomes. Although root enlargement is rarely necessary, the techniques should remain in the armamentarium of cardiac surgeons. Webb27 juli 2024 · The fluid dynamics of a natural aortic valve are complicated due to the highly pulsatile flow conditions, the compliant wall boundaries, and the sophisticated geometry of the aortic root. In the present study, a pulsatile flow simulator was constructed and utilized to investigate the turbulent characteristics and structural deformation of an intact … how many hours until 6:00 o\u0027clock
(PDF) The Lower, The Better? Think Beyond the Gradient after ...
WebbPatients with aortic stenosis (AS) and small aortic annulus (SAA) who undergo surgical aortic valve replacement (SAVR) are more likely to receive smaller prostheses, predisposing them to prosthesis patient-mismatch (PPM). Since the Ozaki Procedure (aortic valve neocuspidization – AVNeo) has proved promising, we aimed to assess its … Webb1 mars 2010 · In this study, we have investigated the short- and mid-term outcomes of the supra-annular Sorin Soprano aortic valve prosthesis in patients with small aortic annuli (≤20 mm). We have not only demonstrated low rates of short-term morbidity and mortality, but have also shown excellent mid-term outcomes with good five-year survival and … Webb12 feb. 2024 · The aortic root is considered small when the diameter of the aortic valve annulus measures 21 mm or less in adult patients. An important consideration for the surgeon is to ensure that the patient receives a prosthetic valve that is adequately sized to achieve low transvalvular gradients. how many hours until 6:00 today