Alexander Kulik, MD, Manal Al-Saigh, MD, Vincent Chan, MD, Roy G

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Enlargement of the Small Aortic Root During Aortic Valve Replacement: Is There a Benefit? Alexander Kulik, MD, Manal Al-Saigh, MD, Vincent Chan, MD, Roy G. Masters, MD, Pierre Bédard, MD, B.-Khanh Lam, MD, MPH, Fraser D. Rubens, MD, Paul J. Hendry, MD, Thierry G. Mesana, MD, PhD, Marc Ruel, MD, MPH The Annals of Thoracic Surgery Volume 85, Issue 1, Pages 94-100 (January 2008) DOI: 10.1016/j.athoracsur.2007.07.058 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Postoperative transprosthesis gradients in patients with small aortic roots who underwent aortic valve replacement (AVR [shaded bars]) or AVR plus aortic root enlargement (ARE [open bars]). Both mean and peak transprosthetic gradients were significantly lower in the AVR plus ARE group. The Annals of Thoracic Surgery 2008 85, 94-100DOI: (10.1016/j.athoracsur.2007.07.058) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Survival and (B) freedom from New York Heart Association class III or IV congestive heart failure (CHF) or CHF death among patients with small aortic roots who underwent aortic valve replacement (AVR [dotted line]) or AVR plus aortic root enlargement (ARE [solid line]). After adjusting for potential confounders in the multivariate analysis, an ARE was associated with a trend toward better long-term freedom from CHF (p = 0.19) but not long-term survival (p = 0.81). The Annals of Thoracic Surgery 2008 85, 94-100DOI: (10.1016/j.athoracsur.2007.07.058) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions