Why the study?
Does aortic valve replacement improve survival, symptoms, and LV dimensions in patients with chronic aortic insufficiency and preoperative LV end-systolic dimension ≥55 mm?
Population
47 consecutive patients who underwent aortic valve replacement for isolated symptomatic aortic…
Comparison
Aortic valve replacement (AVR) vs Patients with preoperative ESD <55 mm vs…
Design
Cohort
Follow-up
average 41 months (range 6-76 months)
Authors
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May support AVR in chronic AI with LVESD ≥55 mm; extends observational data but leaves randomized confirmation open.
Does aortic valve replacement improve survival, symptoms, and LV dimensions in patients with chronic aortic insufficiency and preoperative LV end-systolic dimension ≥55 mm?
In patients with chronic aortic insufficiency, a preoperative LV end-systolic dimension ≥55 mm does not preclude successful aortic valve replacement, as both groups demonstrated excellent survival, symptomatic relief, and normalization of LV dimensions.
Roelandt et al. (1983) studied this question.
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