ArticleJournal of thoracic disease2026
Continuous suture technique for aortic valve replacement in patients with small aortic annulus.
Article in Journal of thoracic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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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Who cites it
1 citing paper in PubMed.
- Continuous Suture Technique in Surgical Aortic Valve Replacement: Early and Mid-Term Outcomes in a Real-World Cohort Including Combined Procedures.Journal of cardiovascular development and disease · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The presence of a small aortic annulus (SAA) in patients undergoing aortic valve replacement (AVR) remains a clinical challenge in cardiac surgery. Continuous suture technique (CST) has been considered to allow implantation of relatively larger prostheses compared with interrupted pledgeted suture (IPS). This study aimed to compare early clinical outcomes of CST versus IPS in patients with SAA who underwent surgical AVR. Methods: Between 2023 to 2025, 250 patients who received surgical AVR with implanted prostheses size <23 mm at our department were enrolled for retrospective analysis: 99 in the CST group and 151 in the IPS group. Early clinical outcomes were analyzed using propensity score matching, with postoperative peak aortic velocity as the primary endpoint. Results: The CST group exhibited comparable early clinical outcomes to the IPS group, with no postoperative paravalvular leak observed. Shorter surgery time (P=0.03) and cross-clamp time (P=0.045) were shown in the raw CST group; this advantage also reached a significant difference in the isolated AVR subgroup analysis. Our cohort presented that AVR with CST was associated with significantly lower peak aortic velocity compared with IPS in both raw cohort {2.0 [interquartile range (IQR), 1.7-2.2] Conclusions: The treatment with CST in AVR could be a valid and well-promoted alternative strategy for patients with SAA and showed a trend toward better hemodynamic performance compared to the traditional IPS approach.
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