PMID- 17532394
OWN - NLM
STAT- MEDLINE
DCOM- 20070608
LR  - 20161124
IS  - 1552-6259 (Electronic)
IS  - 0003-4975 (Linking)
VI  - 83
IP  - 6
DP  - 2007 Jun
TI  - Aortic valve replacement with 17-mm St. Jude Medical prostheses for a small 
      aortic root in elderly patients.
PG  - 2050-3
AB  - BACKGROUND: There are few reports about the optimal prosthesis for elderly 
      patients who have small aortic roots with an aortic annular size of less than 19 
      mm. METHODS: From October 2004 to October 2006, 11 women aged 70 years or older 
      (mean age, 74.9 +/- 3.5 years) underwent aortic valve replacement with a 17-mm 
      Regent prosthesis (St. Jude Medical, St. Paul, MN), with the size determined 
      using the manufacturer's sizer. Clinical status and the results of preoperative 
      and postoperative echocardiography were evaluated. RESULTS: The patients had a 
      mean body surface area of 1.33 +/- 0.13 m2. Preoperative average New York Heart 
      Association (NYHA) functional class was 2.5 +/- 0.7. Preoperative 
      echocardiography showed a mean indexed effective orifice area of 0.33 +/- 0.14 
      cm2/m2 and a left ventricular mass index of 175 +/- 63 g/m2. Seven patients 
      underwent associated procedures. Postoperative ventilation time was 14 +/- 5.6 
      hours, and the intensive care unit stay was 1.0 +/- 0.4 days. No patients died 
      perioperatively. The NYHA functional class improved to class I in 9 patients. No 
      obstruction of valve opening was observed. A significant increase in the mean 
      indexed effective orifice area (0.87 +/- 0.10 cm2/m2) and regression of left 
      ventricular mass index were found (114 +/- 46 cm2/m2) on postoperative 
      echocardiography. CONCLUSIONS: Aortic valve replacement in elderly patients with 
      small aortic roots (less than 19 mm) using a 17-mm Regent prosthesis showed 
      satisfactory clinical and hemodynamic results.
FAU - Takaseya, Tohru
AU  - Takaseya T
AD  - Department of Cardiovascular Surgery, Clinical Research Institute, National 
      Hospital Organization, Kyusyu Medical Center, Fukuoka, Japan.
FAU - Kawara, Takemi
AU  - Kawara T
FAU - Tokunaga, Shigehiko
AU  - Tokunaga S
FAU - Kohno, Michitaka
AU  - Kohno M
FAU - Oishi, Yasuhisa
AU  - Oishi Y
FAU - Morita, Shigeki
AU  - Morita S
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - IM
CIN - Ann Thorac Surg. 2008 Feb;85(2):692-3; author reply 693. PMID: 18222310
MH  - Age Factors
MH  - Aged
MH  - *Aortic Valve
MH  - Echocardiography
MH  - Female
MH  - Heart Valve Diseases/diagnostic imaging/*surgery
MH  - *Heart Valve Prosthesis
MH  - *Heart Valve Prosthesis Implantation
MH  - Humans
EDAT- 2007/05/29 09:00
MHDA- 2007/06/09 09:00
CRDT- 2007/05/29 09:00
PHST- 2006/10/25 00:00 [received]
PHST- 2007/01/17 00:00 [revised]
PHST- 2007/01/22 00:00 [accepted]
PHST- 2007/05/29 09:00 [pubmed]
PHST- 2007/06/09 09:00 [medline]
PHST- 2007/05/29 09:00 [entrez]
AID - S0003-4975(07)00214-7 [pii]
AID - 10.1016/j.athoracsur.2007.01.044 [doi]
PST - ppublish
SO  - Ann Thorac Surg. 2007 Jun;83(6):2050-3. doi: 10.1016/j.athoracsur.2007.01.044.