Aortic annulus sizing in bicuspid and tricuspid aortic valves using CT in patients with surgical aortic valve replacement.

Choe, Jooae; Koo, Hyun Jung; Kang, Joon-Won; Kim, Joon Bum; Kang, Hee Jun; Yang, Dong Hyun
Scientific reports
2021Oct ; 11 ( 1 ) :21005.
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Choe, Jooae - Department of Radiology and Research Institute of Radiology, Cardiac Imaging Center, Asan Medical Center, University of Ulsan College of Medicine, Olympic-ro 43 gil, 88, Song-pa gu, Seoul, 05505, South Korea.
Koo, Hyun Jung - Department of Radiology and Research Institute of Radiology, Cardiac Imaging Center, Asan Medical Center, University of Ulsan College of Medicine, Olympic-ro 43 gil, 88, Song-pa gu, Seoul, 05505, South Korea.
Kang, Joon-Won - Department of Radiology and Research Institute of Radiology, Cardiac Imaging Center, Asan Medical Center, University of Ulsan College of Medicine, Olympic-ro 43 gil, 88, Song-pa gu, Seoul, 05505, South Korea.
Kim, Joon Bum - Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Kang, Hee Jun - Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Yang, Dong Hyun - Department of Radiology and Research Institute of Radiology, Cardiac Imaging Center, Asan Medical Center, University of Ulsan College of Medicine, Olympic-ro 43 gil, 88, Song-pa gu, Seoul, 05505, South Korea. donghyun.yang@gmail.com.
ABSTRACT
The purpose of this study was to evaluate whether bicuspid anatomy affects the discrepancy between CT-derived annular size and intraoperative size. We retrospectively analyzed annular measurements in 667 patients who underwent surgical aortic valve replacement (AVR). Preoperative CT measurements of the aortic annulus were compared to surgically implanted valve sizes. To evaluate whether the bicuspid valve affects the differences between CT annulus diameter and surgical AVR size, patients with diameter larger by >?10% (CT-Lg group) on CT, compared to surgical AVR size, were compared with those having size difference
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Bicuspid aortic annulus diameters measured on CT showed a significant correlation with surgical aortic valve size. Annular measurement methods for tricuspid valve could also be adjustable for bicuspid aortic valve sizing. The difference between CT-derived diameter and surgical AVR size is affected by operator factor and the types of prosthesis but not affected by the bicuspid valve.
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DOI
10.1038/s41598-021-00406-3
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ICD 03
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