HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Peppino Pugliese Massimo Bernabei Carlo Santi Achille Pasqué Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Pugliese, P. Articles by Eufrate, S. Search for Related Content PubMed PubMed Citation Articles by Pugliese, P. Articles by Eufrate, S.

Ann Thorac Surg 1984;38:31-36
© 1984 The Society of Thoracic Surgeons

---

Articles

Posterior Enlargement of the Small Annulus during Aortic Valve Replacement versus Implantation of a Small Prosthesis

Cardiac Surgery Department, Ospedale Generale Provinciale, Massa, Italy

Accepted for publication June 9, 1983.

^* Address reprint requests to Dr. Pugliese, Divisione di Cardiochirurgia, Ospedale Generale Provinciale, 54100 Massa, Italy

Twenty-two patients with a small aortic annulus were identified among 196 consecutive patients undergoing aortic valve replacement (AVR). The 11 patients in Group 1 underwent posterior enlargement aortic annuloplasty, and the 11 in Group 2 received a small aortic prosthesis (less than or equal to 21 mm). The two groups were unselected. Core hypothermia, cardioplegia, and local cooling were employed for all operations. Isolated AVR was performed in 3 patients in each group. In Group 1, the mean increase in diameter of the annulus was 4.82 mm, which resulted in a mean area increase of 169.91 mm² (51.7%). Mean aortic cross-clamp times were 140.4 minutes and 93.5 minutes in Groups 1 and 2, respectively.

There were 2 operative deaths in Group 1, and 1 operative and 1 late death in Group 2. Mean follow-up was 26.5 months for Group 1 and 43.4 months for Group 2. No thomboembolic or bleeding episodes have been recorded. Considerations and conclusions are offered from the study of this small series of patients.

This article has been cited by other articles:

				Y. Kobayashi, Y. Fukushima, T. Hayase, K. Kojima, and G. Endo Clinical Outcome of Aortic Valve Replacement With 16-mm ATS-Advanced Performance Valve for Small Aortic Annulus Ann. Thorac. Surg., April 1, 2010; 89(4): 1195 - 1199. [Abstract] [Full Text] [PDF]

				A. Kulik, M. Al-Saigh, V. Chan, R. G. Masters, P. Bedard, B.-K. Lam, F. D. Rubens, P. J. Hendry, T. G. Mesana, and M. Ruel Enlargement of the Small Aortic Root During Aortic Valve Replacement: Is There a Benefit? Ann. Thorac. Surg., January 1, 2008; 85(1): 94 - 100. [Abstract] [Full Text] [PDF]

				L. J. Castro, J. M. Arcidi Jr, A. L. Fisher, and V. A. Gaudiani Routine enlargement of the small aortic root: a preventive strategy to minimize mismatch Ann. Thorac. Surg., July 1, 2002; 74(1): 31 - 36. [Abstract] [Full Text] [PDF]

				P. Pibarot and J. G. Dumesnil Hemodynamic and clinical impact of prosthesis-patient mismatch in the aortic valve position and its prevention J. Am. Coll. Cardiol., October 1, 2000; 36(4): 1131 - 1141. [Abstract] [Full Text] [PDF]

				M. Otaki, H. Oku, S. Nakamoto, H. Kitayama, M. Ueda, and T. Matsumoto Two-Directional Aortic Annular Enlargement for Aortic Valve Replacement in the Small Aortic Annulus Ann. Thorac. Surg., January 1, 1997; 63(1): 261 - 263. [Abstract] [Full Text]