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Indian Journal of Thoracic and Cardiovascular Surgery
Published in: Indian Journal of Thoracic and Cardiovascular Surgery 1/2022

01-04-2022 | Aortic Valve Replacement | Review Article

Aortic root widening: “pro et contra”

Authors: Balaji Srimurugan, Neethu Krishna, Rajesh Jose, Kirun Gopal, Praveen Kerala Varma

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Special Issue 1/2022

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Abstract

In patients with a small aortic annulus, the clinical benefits of aortic valve replacement depend on avoidance of patient-prosthesis mismatch as it is associated with reduced overall survival. Aortic root widening or enlargement is a useful technique to implant larger valve prosthesis to prevent patient-prosthesis mismatch. Posterior annular enlargement is the commonest technique used for aortic root enlargement. Consistent enlargement of the aortic root requires more extensive procedures like Manouguian or Konno-Rastan techniques. The patients commonly selected are younger patients with good life expectancy. However, caution is advised in applying this procedure in elderly patients, patients with heavily calcified annulus and when performing concomitant procedures. There is no definitive conclusion on the best material to use for the reconstruction of aortic annulus and aorta in aortic root enlargement procedures.
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Metadata
Title
Aortic root widening: “pro et contra”
Authors
Balaji Srimurugan
Neethu Krishna
Rajesh Jose
Kirun Gopal
Praveen Kerala Varma
Publication date
01-04-2022
Publisher
Springer Singapore
Published in
Indian Journal of Thoracic and Cardiovascular Surgery / Issue Special Issue 1/2022
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-020-01125-6

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