Measurement of aortic root size by biplane angiography before cardiac valve replacement

Aortic valve replacement (AVR) in the patient with a small aortic root demands special consideration because the hemodynamic function of artificial valves with a small external diameter is often poor. In this study, the internal diameter of the aortic root was measured from biplane ventriculography....

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Veröffentlicht in:The American journal of cardiology 1984-04, Vol.53 (8), p.1084-1086
Hauptverfasser: Mukharji, Jhulan, Sloan, Timothy J., Estrera, Aaron S., Lipscomb, Kirk M.
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container_end_page 1086
container_issue 8
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container_title The American journal of cardiology
container_volume 53
creator Mukharji, Jhulan
Sloan, Timothy J.
Estrera, Aaron S.
Lipscomb, Kirk M.
description Aortic valve replacement (AVR) in the patient with a small aortic root demands special consideration because the hemodynamic function of artificial valves with a small external diameter is often poor. In this study, the internal diameter of the aortic root was measured from biplane ventriculography. This measured root diameter was then used to predict the external diameter of the artificial valve. Twelve patients underwent biplane ventriculography followed by AVR with Carpentier-Edwards bioprostheses. The artificial valve diameter was predicted with a correlation coefficient of 0.93, a standard error of estimate of 0.89 mm, and an average absolute difference between preoperative measurement and valve diameter of 0.69 mm. Therefore, the aortic root diameter can be accurately measured from the ventriculogram, thus detecting the patient with a small aortic root before surgery.
doi_str_mv 10.1016/0002-9149(84)90642-8
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Angiography - methods
Aortic Valve - diagnostic imaging
Aortic Valve - pathology
Biological and medical sciences
Bioprosthesis
Cardiology. Vascular system
Endocardial and cardiac valvular diseases
Heart
Heart Valve Prosthesis
Humans
Medical sciences
Preoperative Care
title Measurement of aortic root size by biplane angiography before cardiac valve replacement
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