Assessing options for the small aortic root.

  title={Assessing options for the small aortic root.},
  author={Michael R. Petracek},
  journal={The Journal of heart valve disease},
  volume={11 Suppl 1},
Valve selection for the small aortic root is a multifactorial process. Considerations include the effective orifice (EOA) of the implanted valve, annular size, body surface area (BSA), and valvular outflow tract of each patient. To decide if a valve is adequate for a patient, the valve EOA and patient BSA are used to calculate the indexed EOA (EOA/BSA). An indexed EOA <0.85 is associated with significant increases in mean systolic gradient with increase in cardiac output. The gradient remains… CONTINUE READING