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Management of small aortic annulus in the era of sutureless valves: A comparative study among different biological options  Aly Ghoneim, MD, Ismail Bouhout,

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Presentation on theme: "Management of small aortic annulus in the era of sutureless valves: A comparative study among different biological options  Aly Ghoneim, MD, Ismail Bouhout,"— Presentation transcript:

1 Management of small aortic annulus in the era of sutureless valves: A comparative study among different biological options  Aly Ghoneim, MD, Ismail Bouhout, MD, MSc, Philippe Demers, MD, MSc, Amine Mazine, MD, MSc, Mary Francispillai, MD, Ismail El- Hamamsy, MD, PhD, Michel Carrier, MD, MBA, Yoan Lamarche, MD, MSc, Denis Bouchard, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 152, Issue 4, Pages (October 2016) DOI: /j.jtcvs Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Population flow chart. AVR, Aortic valve replacement; AS, aortic stenosis. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Box-and-whiskers graph of postoperative mean gradients by procedure type, assessed with transthoracic echocardiography. Vertical line represents the median. Left and right extremities of each box represent the first and third quartiles, respectively. The whiskers extend to the lowest and highest observations. MAG, Mean aortic gradient. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Proposed algorithm for management of small aortic annulus. *TAVI (transcatheter aortic valve implantation) was not assessed by the present study. STS, Society of Thoracic Surgeons; AVR, aortic valve replacement. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

5 Postoperative TTE gradient distribution.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

6 Video 1 Minimally invasive aortic valve replacement using the Perceval S sutureless prosthesis via right anterior mini thoracotomy. Video available at The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

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