Different surgical techniques for the management of small aortic annulus in patients with rheumatic aortic stenosis
Keywords:
Aortic root enlargement, aortic annuli, Rheumatic Heart DiseaseAbstract
Background: Rheumatic Heart Disease (RHD) may cause aortic valve stenosis and with small aortic annuli, using small aortic valve prothesis can lead to Prosthesis-Patient Mismatch (PPM). Aortic root enlargement (ARE) techniques, such as Nicks, Manouguian, and Konno–Rastan, allow for using larger prosthetic valves, improving hemodynamics and patient outcomes.
Aim: To evaluate surgical techniques for managing small aortic annuli in rheumatic aortic stenosis
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