Key result
Aortic root enlargement is recommended alongside AVR for small aortic annuli despite uncertain incremental morbidity.
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May support aortic root enlargement in small-annuli AVR; leaves open incremental morbidity for prospective trials.
Aortic root enlargement (ARE) can be an important adjunct for aortic valve replacement (AVR) in patients with small annuli, but incremental morbidity of this procedure is not well understood.
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Yousef et al. (2022) studied this question. Aortic root enlargement is strongly recommended as an important adjunct for aortic valve replacement in patients with small annuli despite unclear incremental morbidity.
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