September 9, 2003CirculationOpen Access

Stability of Ascending Aortic Dilatation Following Aortic Valve Replacement

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Why the study?

Does ascending aortic dilatation progress in patients undergoing aortic valve replacement?

Population

185 patients undergoing aortic valve replacement (AVR) between 1992 and 1999

Design

Cohort

Follow-up

mean 30.0+/-23.4 months

Authors

BABruce W. AndrusDartmouth–Hitchcock Medical Center DODaniel J. O’RourkeClinical Research Institute LDLawrence J. DaceyDartmouth Institute for Health Policy and Clinical Practice

Discussion

Member takes

Implication

May not warrant routine ascending aorta replacement at AVR; leaves open need for randomized confirmation in patients with moderate dilatation.

Structured PICO

Does ascending aortic dilatation progress in patients undergoing aortic valve replacement?

Population

185 patients undergoing aortic valve replacement (AVR) between 1992 and 1999

Intervention

Aortic valve replacement (AVR)

Outcome

Change in ascending aortic diameter and incidence of progressive aortic dilatation (increase >0.3 cm) at mean follow-up of 30.0 monthssurrogate

Ascending aortic dilatation rarely progresses after aortic valve replacement, suggesting routine replacement of the ascending aorta during AVR may not be necessary.

Cite This Study

Andrus et al. (2003) studied this question.

synapsesocial.com/papers/6a719926ac440176ef2a3c5b https://doi.org/10.1161/01.cir.0000087385.63569.79

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Implication

May not warrant routine ascending aorta replacement at AVR; leaves open need for randomized confirmation in patients with moderate dilatation.

Stability of Ascending Aortic Dilatation Following Aortic Valve Replacement

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Stability of Ascending Aortic Dilatation Following Aortic Valve Replacement

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider