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J Thorac Cardiovasc Surg 2009;138:1255-1256
© 2009 The American Association for Thoracic Surgery

Letter to the Editor

Transcatheter heart valve optimal size

Pierre-Yves Litzler, MD, PhD, Alain Cribier, MD

Departments of Cardiovascular Surgery and Cardiology, Inserm 644, Hopital Charles Nicolle, Rouen University, Rouen, France

The first 20% of the full text of this article appears below.

To the Editor:

We read with interest the comments of Zegdi and colleagues1Go on our article entitled "Surgical aortic valve replacement after percutaneous aortic valve implantation: what have we learned?"2Go The authors raised several important questions about transcatheter heart valve (THV) size selection according to the aortic annular diameter and the issue of oversizing. In the case reported a 23-mm balloon expandable Cribier–Edwards THV had been selected for an aortic annulus measured to 20 mm by using echocardiographic analysis (2 mm of oversizing), which was in agreement with the Edwards company's recommendations. After THV implantation, it clearly appeared that the THV size was too small, explaining the subsequent severe paravalvular leak leading to surgical valve replacement.

Retrospectively, . . . [Full Text of this Article]


Related Article

Percutaneous aortic valve implantation: What does oversizing mean?
Rachid Zegdi, Paul Achouh, Didier Blanchard, Antoine Lafont, and Jean-Noël Fabiani
J. Thorac. Cardiovasc. Surg. 2009 138: 260. [Extract] [Full Text] [PDF]





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