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. 2013 Sep;7(9):1842-5.
doi: 10.7860/JCDR/2013/5776.3329. Epub 2013 Sep 10.

Aortic valve annular dimension in Indian population

Hannah Sugirthabai Rajila Rajendran  1 , Sudha Seshayyan, Ashok Victor, Gangadevi Rajapandian
Affiliations

Aortic valve annular dimension in Indian population

Hannah Sugirthabai Rajila Rajendran et al. J Clin Diagn Res. 2013 Sep.

Abstract

Aim: The Aortic Valve (AV) annular dimension with respect to the Body Surface Area (BSA) of the Indian population is compared against the standard values. Presence of discrepancies can lead to patient prosthesis mismatch during aortic valve replacement surgeries.

Methods: This study was conducted on 406 subjects. AV diameter was examined by using parasternal long axis view, where the imaging plane transects the AV in an anteroposterior direction and its x axis is aligned parallel to the long axis of aorta. Data were statistically analysed with western population.

Results: The AV dimension ranged from 12.2 mm to 21.2 mm in the BSA range of 0.6 to 1.9 m(2), showing a linear increase in diameter with increasing BSA. There was an increase of about 2 mm, from 0.61 - 0.7 m(2) BSA to 0.71 - 0.8 m(2) BSA. A linear increase which ranged from 0.3 to 1 mm was observed for BSA which ranged from 0.81 m(2) to 1.2 m(2). In the BSA range of 1.21 - 1.3 m(2), there was an increase of 1.5 mm. A steady increase which ranged from 0.4-1 mm was observed in the BSA which ranged from 1.31- 1.9 m(2).

Conclusions: There is a significant difference between Indian and western population in the aortic dimension, in the body surface ranges of 0.61-0.7, 1.11-1.2, 1.21-1.3, 1.51-1.6, 1.61-1.7, 1.71-1.8 and 1.8-1.9 m(2). In the range of 1.21-1.3 m(2), the diameter was larger than standard, whereas in all the other ranges, AV diameter was smaller than standard values. BSA, as a good predictor of AV dimension, has also been proved.

Keywords: Aortic valve annulus; BSA; Indian population.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
RV–Right Ventricle; LV- Left Ventricle; AO–Aorta; LA–Left Atrium
[Table/Fig-2]:
[Table/Fig-2]:
Aortic valve annulus
[Table/Fig-7]:
[Table/Fig-7]:
Comparison of Aortic Valve in Indian & Western Population
See this image and copyright information in PMC

References

    1. Rahimtoola SH. The problem of valve prosthesis-patient mismatch. Circulation. 1978;58:20–24. - PubMed
    1. Pibarot Philippe, Dumesnil Jean G. Prevention of valve prosthesis—patient mismatch before aortic valve replacement: does it matter and is it feasible? Heart. 2007 May;93(5):549–51. - PMC - PubMed
    1. Habbal ME, Somerville J. Size of the normal aortic root in normal subjects and in those with left venticular outflow obstruction. Am J Cardiol. 1989;63:322. - PubMed
    1. Capps SB, Elkins RC, Frank DM. BSA as a predictor of aortic and pulmonary valve diameter. J Thorac Cardiovasc Surg. 2000;119:975. - PubMed
    1. Dan ZHU, Qiang ZHAO. Aortic valve annulus and sinus-tube joint diameters in normal adults of Chinese Han ethnic group. Chinese Medical Journal. 2008;121(12):1093–95. - PubMed

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