Discrepancies Between Sizer and Valve Dimensions: Implications for Small Aortic Root

• Published in: The Annals of thoracic surgery Vol. 65; no. 6; pp. 1631 - 1633
• Main Authors: Bartels, Claus, Leyh, Rainer G, Bechtel, J.F.Matthias, Joubert-Hübner, Elrina, Sievers, Hans-Hinrich
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.06.1998; Elsevier Science
• Subjects: Aortic Valve; Biological and medical sciences; Calibration; Evaluation Studies as Topic; Heart Valve Prosthesis; Heart Valve Prosthesis Implantation - instrumentation; Humans; Medical sciences; Prosthesis Design; Surface Properties; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Human; Treatment; Cardiac valvular disease; Prosthesis; Surgery; Aortic valve disease; Dimension; Aortic valve; Comparative study; Mechanical prothese
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/S0003-4975(98)00225-2

Background. Precise labeling of sizer and valve diameters is crucial for optimal valve selection especially in the small aortic root. This study examines the accuracy of manufacturers’ markings on small aortic prostheses and sizers. Methods. Sizer and valve dimensions of 22 different mechanical aortic prostheses (19 to 23 mm) were evaluated by caliper micrometer measurements. Results. Nearly all sizers exceeded their marked dimensions by up to 1.0 mm. Measured tissue annulus diameters for 19-mm-labeled valves varied between 18.3 and 19.6 mm, for 21-mm valves from 20.5 to 21.6 mm, and for 23-mm valves from 22.4 to 23.5 mm, respectively. The orifice areas ranged from 1.5 to 2.06 cm 2 for 19-mm valves, from 2.0 to 2.55 cm 2 for 21-mm valves, and from 2.4 to 3.09 cm 2 for 23-mm valves, respectively. Conclusions. Actual sizer dimensions and tissue annulus diameters of various small mechanical aortic prostheses varied considerably from their marked diameters. These differences should be considered to ensure the optimal prosthesis selection for each patient.