The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 4 , Pages 950-956 , April 2009

Aortic root morphology in patients undergoing percutaneous aortic valve replacement: Evidence of aortic root remodeling

  • Mateen Akhtar, MD

      Affiliations

    • Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • E. Murat Tuzcu, MD

      Affiliations

    • Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • Samir R. Kapadia, MD

      Affiliations

    • Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • Lars G. Svensson, MD, PhD

      Affiliations

    • Division of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • Roy K. Greenberg, MD

      Affiliations

    • Department of Vascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • Eric E. Roselli, MD

      Affiliations

    • Division of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • Sandra Halliburton, PhD

      Affiliations

    • Division of Radiology, Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • Vikram Kurra, MBBS

      Affiliations

    • Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio
    • Division of Radiology, Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • Paul Schoenhagen, MD

      Affiliations

    • Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio
    • Division of Radiology, Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • Srikanth Sola, MD

      Affiliations

    • Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio
    • Division of Radiology, Cleveland Clinic Foundation, Cleveland, Ohio
    • Corresponding Author InformationAddress for reprints: Srikanth Sola, MD, FACC, FAHA, Department of Cardiovascular Medicine, The Cleveland Clinic, 9500 Euclid Avenue, Desk F-15, Cleveland, OH 44195.

Received 25 May 2008 ,Revised 16 July 2008 ,Accepted 31 July 2008.

References 

  1. Webb JG, Pasupati S, Humphries K, Thompson C, Altwegg L, Moss R, et al. Percutaneous transarterial aortic valve replacement in selected high-risk patients with aortic stenosis. Circulation. 2007;116:755–763
  2. Cribier A, Eltchaninoff H, Tron C, Bauer F, Agatiello C, Sebagh L, et al. Early experience with percutaneous transcatheter implantation of heart valve prosthesis for the treatment of end stage inoperable patients with calcific aortic stenosis. J Am Coll Cardiol. 2004;43:698–703
  3. Lichtenstein SV, Cheung A, Ye J, Thompson CR, Carere RG, Pasupati S, et al. Transapical transcatheter aortic valve implantation in man. Circulation. 2006;114:591–596
  4. Webb JG, Chandavimol M, Thompson CR, Ricci DR, Carere RG, Munt BI, et al. Percutaneous aortic valve implantation retrograde from the femoral artery. Circulation. 2006;113:842–850
  5. Schoenhagen P, Greenberg RK. 3-dimensional planning of endovascular procedures with multi-detector computed tomography: impact on procedural results and clinical outcome?. Int J Cardiovasc Imaging. 2008;24:211–213Epub 2007 Aug 17
  6. Otsuka M, Sugahara S, Nakamura M, Umeda K, Bonkohara Y, Van Pelt N, et al. Optimal fluoroscopic view selection for percutaneous coronary intervention by multislice computed tomography. Int J Cardiol. 2007;118:94–96
  7. Hayabuchi Y, Mori K, Kagami S. Virtual endoscopy using multi-detector row CT for coil occlusion of patent ductus arteriosus. Catheter Cardiovasc Interv. 2007;70:434–439
  8. Graham LN, Melton IC, MacDonald S, Crozier IG. Value of CT localization of the fossa ovalis prior to transseptal left heart catheterization for left atrial ablation. Europace. 2007;9:417–423
  9. Chen MY, Jehle AJ, Quaife RA, Carroll JD. Cardiac computed tomographic angiography pre-procedural planning for percutaneous atrial septal defect closure. J Cardiovasc Computed Tomography. 2007;1:S4
  10. Cademartiri F, Nieman K, van der Lugt A, Raaijmakers RH, Mollet N, Pattynama PM, et al. Intravenous contrast material administration at 16-detector row helical CT coronary angiography: test bolus versus bolus-tracking technique. Radiology. 2004;233:817–823
  11. Morin RL, Gerber TC, McCollough CH. Radiation dose in computed tomography of the heart. Circulation. 2003;107:917–922
  12. Anderson RH. Clinical anatomy of the aortic root. Heart. 2000;84:670–673
  13. Schafers HJ, Bierbach B, Aicher D. A new approach to the assessment of aortic cusp geometry. J Thorac Cardiovasc Surg. 2006;132:247–249
  14. Dumesnil JG, Honos GN, Lemieux A, Beauchemin J. Validation and application of indexed aortic prosthetic valve areas calculated by Doppler echocardiography. J Am Coll Cardiol. 1990;16:637–643
  15. Schiller NB, Shah PM, Crawford M, DeMaria A, Devereux R, Feigenbaum H, et al. Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms. J Am Assoc Echocardiogr. 1989;2:358–367
  16. Ben-Dor I, Sagie A, Weisenberg D, Zekry SB, Fraser A, Sahar G, et al. Comparison of diameter of ascending aorta in patients with severe aortic stenosis secondary to congenital versus degenerative versus rheumatic etiologies. Am J Cardiol. 2005;96:1549–1552
  17. Crawford MH, Roldan CA. Prevalence of aortic root dilatation and small aortic roots in valvular aortic stenosis. Am J Cardiol. 2001;87:1311–1313
  18. Tops LF, Wood DA, Delgado V, Schuijf JD, Mayo JR, Pasupati S, et al. Noninvasive evaluation of the aortic root by multislice computed tomography. J Am Coll Cardiol Imaging. 2008;1:321–330
  19. Alkadhi H, Wildermuth S, Plass A, Bettex D, Baumert B, Leschka S, et al. Aortic stenosis: comparative evaluation of 16-detector row CT and echocardiography. Radiology. 2006;240:47–55
  20. Pouleur AC, le Polain de Waroux JB, Pasquet A, Vanoverschelde JL, Gerber BL. Aortic valve area assessment: multidetector CT compared with cine MR imaging and transthoracic and transesophageal echocardiography. Radiology. 2007;244:745–754
  21. Laissy JP, Messika-Zeitoun D, Serfaty JM, Sebban V, Schouman-Claeys E, Iung B, et al. Comprehensive evaluation of preoperative patients with aortic valve stenosis: usefulness of cardiac multidetector computed tomography. Heart. 2007;93:1121–1125
  22. Feuchtner GM, Muller S, Bonatti J, Schachner T, Velik-Salchner C, Pachinger O, et al. Sixty-four slice CT evaluation of aortic stenosis using planimetry of the aortic valve area. Am J Roentgenol. 2007;189:197–203
  23. Naqvi TZ, Siegel RJ. Aortic stenosis: the role of transesophageal echocardiography. Echocardiography. 1999;16(7 Pt 1):677–688
  24. Maslow AD, Mashikian J, Haering JM, Heindel S, Douglas P, Levine R. Transesophageal echocardiographic evaluation of native aortic valve area: utility of the double-envelope technique. J Cardiothorac Vasc Anesth. 2001;15:293–299
  25. Mochizuki Y, Pandian NG. Role of echocardiography in the diagnosis and treatment of patients with aortic stenosis. Curr Opin Cardiol. 2003;18:327–333
  26. Goldberg SH, Elmariah S, Miller MA, Fuster V. Insights into degenerative aortic valve disease. J Am Coll Cardiol. 2007;50:1205–1213
  27. Palmieri V, Bella JN, Arnett DK, Roman MJ, Oberman A, Kitzman DW, et al. Aortic root dilatation at sinuses of Valsalva and aortic regurgitation in hypertensive and normotensive subjects: The Hypertension Genetic Epidemiology Network Study. Hypertension. 2001;37:1229–1235
  28. Schlatmann TJ, Becker AE. Histologic changes in the normal aging aorta: implications for dissecting aortic aneurysm. Am J Cardiol. 1977;39:21–26
  29. Carlson RG, Lillehei CW, Edwards JE. Cystic medial necrosis of the ascending aorta in relation to age and hypertension. Am J Cardiol. 1970;25:411–415
  30. Beller CJ, Labrosse MR, Thubrikar MJ, Szabo G, Robicsek F, Hagl S. Increased aortic wall stress in aortic insufficiency: clinical data and computer model. Eur J Cardiothorac Surg. 2005;27:270–275

PII: S0022-5223(08)01741-8

doi: 10.1016/j.jtcvs.2008.07.062

The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 4 , Pages 950-956 , April 2009