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Lookup NU author(s): Professor Bob Anderson
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There is continued interest in surgical repair of both the congenitally malformed aortic valve, and the valve with acquired dysfunction. Aortic valvar repair based on a geometric approach has demonstrated improved durability and outcomes. Such an approach requires a thorough comprehension of the complex 3-dimensional anatomy of both the normal and congenitally malformed aortic root. In this review, we provide an understanding of this anatomy based on the features that can accurately be revealed by contrast-enhanced computed tomographic imaging. We highlight the complimentary role that such imaging, with multiplanar reformatting and 3-dimensional reconstructions, can play in selection of patients, and subsequent presurgical planning for valvar repair. The technique compliments other established techniques for perioperative imaging, with echocardiography maintaining its central role in assessment, and enhances direct surgical evaluation. This additive morphological and functional information holds the potential for improving selection of patients, surgical planning, subsequent surgical repair, and hopefully the subsequent outcomes.
Author(s): Tretter JT, Izawa Y, Spicer DE, Okada K, Anderson RH, Quintessenza JA, Mori S
Publication type: Article
Publication status: Published
Journal: Circulation: Cardiovascular Imaging
Year: 2021
Volume: 14
Issue: 11
Online publication date: 08/11/2021
Acceptance date: 02/04/2018
ISSN (print): 1941-9651
ISSN (electronic): 1942-0080
Publisher: Lippincott Williams & Wilkins
URL: https://doi.org/10.1161/CIRCIMAGING.121.013134
DOI: 10.1161/CIRCIMAGING.121.013134
PubMed id: 34743527
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