ArticleJournal of cardiothoracic surgery2025
Minimizing transaortic valve gradient in a young female with a large body habitus and small annulus: a case report.
Article in Journal of cardiothoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
backgroundAortic valve replacement in the setting of a small aortic anulus and a large body habitus is challenging. A surgical aortic valve replacement (AVR) implanted circumferentially onto this native annulus will predictably result in patient-prosthesis mismatch (PPM). We discuss the decision making process for the management of this patient. CASE PRESENTATION: We report our management strategy for a younger patient (55 years old) with a very large body habitus (body mass index = 63.3 kg/m
conclusionsA Y-incision root enlargement is an effective strategy to maximize use of the native LVOT to avoid PPM. In the setting of a mechanical AVR, this is expected to result in favorable long-term outcomes.
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